Motorized Spiral Enteroscopy Effective for Previous Incomplete Colonoscopies Related to Redundant Colon
Douglas K. Rex, MD, MASGE, reviewing Al-Toma A, et al. Endosc Int Open 2022 Jun 3.
The motorized spiral enteroscope has been shown to be safe and effective for deep enteroscopy.
This study from a single center included 36 patients who had a previous incomplete colonoscopy, defined by failed cecal intubation or the inability to position the endoscope for right-sided polypectomy. All 36 procedures performed for this study were successfully completed with the motorized spiral enteroscope, with no complications.
COMMENTThere are two major causes of prior incomplete colonoscopies: (1) redundant colon and (2) narrowed and angulated sigmoid. This device would clearly not be appropriate for a narrowed or angulated sigmoid. Patients were all referred internally, so they may not represent the severely redundant colons often encountered in referral centers.
Note to readers: At the time we reviewed this paper, its publisher noted that it was not in final form and that subsequent changes might be made.
CITATION(S)
Al-Toma A, Oude Hergelink D, Tenthof van Noorden J, Koornstra JJ. Prospective evaluation of the Motorized Spiral Enteroscope for previous incomplete colonoscopy. Endosc Int Open 2022 Jun 3. (Epub ahead of print) (https://doi.org/10.1055/a-1869-2541)
