Endoscopy 2008; 40(10): 835-842
DOI: 10.1055/s-2008-1077594
DDW highlights

© Georg Thieme Verlag KG Stuttgart · New York

Small-bowel endoscopy

M.  Pennazio1
  • 1Division of Gastroenterology 2, Department of Internal Medicine, S. Giovanni AS University Teaching Hospital, Turin, Italy
Further Information

Publication History

Publication Date:
30 September 2008 (online)

Introduction

Small-bowel endoscopy remains a particularly attractive subject for clinical research and debate. A total of 111 scientific contributions on this topic were presented at this year’s Digestive Diseases Week, 58 of which concerned capsule endoscopy and 53 flexible enteroscopy, the latter mainly balloon-assisted. Alongside various reports concerning technical aspects, new methods of enteroscopy and the clinical application of new capsules were also described.

Obscure bleeding is still the field in which small-bowel endoscopy finds greatest clinical application, whereas several important issues remain to be clarified regarding the use of capsule endoscopy in patients with Crohn’s disease, including safety and clinical usefulness. The possibility of carrying out endoscopic treatment is certainly the most exciting feature of flexible enteroscopy, coagulation of small-bowel angioectasias being the most commonly performed. There were also some reports regarding balloon dilation of small-bowel Crohn’s strictures, endoscopic resections within the small bowel, and endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically modified anatomy; however, these studies still only relate to small series, with short follow-up, and most of them are retrospective. Clinical outcome studies as well as cost-effectiveness analyses for the various indications are needed.

References

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  • 99 Yano T, Sunada K, Yoshizawa M. et al . A new technique for direct percutaneous endoscopic jejunostomy using double balloon endoscopy and magnetic anchors in a porcine model.  Gastrointest Endosc. 2008;  67 AB260
  • 100 Akerman P A, Cantero D, Avila J. et al . A pilot study of spiral enteroscopy using a new design 48F Discovery SB overtube and the Fujinon 200 cm × 9.4 mm enteroscope.  Gastrointest Endosc. 2008;  67 AB264
  • 101 Akerman P A, Cantero D, Avila J. et al . A pilot study of spiral enteroscopy using a new design 48F Discovery SB overtube and the Olympus 200 cm × 9.2 mm enteroscope.  Gastrointest Endosc. 2008;  67 AB264
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  • 103 Helmstaedter L, Hartmann D, Eickhoff D. et al . First experiences with the Olympus single balloon enteroscopy system.  Gastrointest Endosc. 2008;  67 AB298
  • 104 Kim H M, Park J Y, Jang J S. et al . The first clinical experience of capsule endoscope ”mirocam“ using a novel transmission technology and a prospective trial to diagnose radiation enteritis in patients receiving chemoradiotherapy for pancreatic cancer.  Gastroenterology. 2008;  134 (Suppl 1) A339
  • 105 Liao Z, Li F, Li Z S. Clinical application of OMOM capsule endoscopy in China: a review of 1068 cases.  Gastrointest Endosc. 2008;  67 AB265
  • 106 Liao Z, Li F, Li Z S. Reduction of the capture rate in the stomach can increase complete examination rate of capsule endoscopy: a prospective randomized controlled trial.  Gastrointest Endosc. 2008;  67 AB265
  • 107 Morita E, Ohtsuka N, Murano M. et al . Trial of driving capsule endoscopy using a magnetic field.  Gastrointest Endosc. 2008;  67 AB131
  • 108 Ohtsuka K, Kashida H, Kodama K. et al . Observation and treatment of small bowel diseases using single balloon endoscope.  Gastrointest Endosc. 2008;  67 AB271
  • 109 Riccioni M E, Nista E C, Spada C. et al . Push and pull enteroscopy using single-balloon enteroscope system: technique, feasibility and preliminary results.  Gastrointest Endosc. 2008;  67 AB141
  • 110 van der Schaar P J, Dijksman F, Pierik A. et al . Epill: a new wireless capsule with enhanced diagnostic and therapeutic potential.  Gastroenterology. 2008;  134 (Suppl 1) A48
  • 111 Volke F, Keller J, Schneider A. et al . In-vivo remote manipulation of modified capsule endoscopes using an external magnetic field.  Gastrointest Endosc. 2008;  67 AB121

M. PennazioMD 

Division of Gastroenterology 2
Department of Internal Medicine
S. Giovanni AS University Teaching Hospital

Via Cavour 31
10123 Torino
Italy

Fax: +39-011-6333623

Email: pennazio.marco@gmail.com

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