Abstract
After more than 15 years since its introduction into clinical practice, indications
for device-assisted enteroscopy have greatly expanded. Alongside the consolidated
indications such as the diagnosis and treatment of small bowel bleeding, Crohn’s disease,
hereditary polyposis, small-bowel tumors and complicated celiac disease, device-assisted
enteroscopy is nowadays largely used to perform endoscopic retrograde cholangiopancreatography
in patients with altered anatomy, stent placement, retrieval of foreign bodies, direct
insertion of jejunal feeding tubes, and in selected cases of incomplete colonoscopy.
This has been made possible by the technical improvements of the enteroscopes and
accessories and by the widespread use of the method. Device-assisted enteroscopy endotherapy
currently offers a safe and effective alternative to major surgery and often represents
the preferred option for treatment of small-bowel pathology. Its safety profile is
favourable even in the elderly patient, provided that it is performed in high-volume
and experienced centers. The evolution of the enteroscopy technique is a challenge
for the future and could be facilitated by the new enteroscopes models. These prototypes
need a thorough clinical and safety assessment especially for the complex therapeutic
procedures. Large prospective, multicenter studies should be performed to assess whether
the use of device-assisted enteroscopy leads to improved patients’ long-term outcomes.
Keywords
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Article info
Publication history
Published online: May 25, 2019
Accepted:
April 23,
2019
Received:
December 16,
2018
Identification
Copyright
© 2019 Editrice Gastroenterologica Italiana S.r.l. Published by Elsevier Ltd. All rights reserved.
