Original articleClinical EndoscopyDiagnostic yield and technical performance of the novel motorized spiral enteroscopy compared with single-balloon enteroscopy in suspected Crohn's disease: a prospective study (with video)
Graphical abstract
Section snippets
Patients
Consecutive patients with suspected CD requiring small-bowel endoscopy based on clinical history and abnormal imaging (CTE or MRE) or CE with lesions not reachable by ileocolonoscopy were recruited between March 2021 and December 2021. The study was conducted in a high-volume tertiary GI center (Asian Institute of Gastroenterology) performing nearly more than 500 SBE and NMSE procedures per year with well-established inflammatory bowel disease registry with more than 7000 inflammatory bowel
Demographics
One hundred forty-six SBE (69 antegrade and 77 retrograde) and 55 NMSE (44 antegrade and 11 retrograde) procedures were performed in 131 and 46 patients, respectively, with suspected CD (37.2% female; aged 7-75 years [median, 35]). Other demographic features like age and sex distribution and percentage of pediatric cases, postoperative cases, and smoking history are summarized in Table 1.
Indications of DAE
The most common indication was abnormal cross-sectional imaging (CTE or MRE) in suspected CD, with 96.6%
Discussion
The current prospective study evaluated consecutive patients with suspected CD undergoing either SBE or NMSE. Among 131 patients with suspected CD undergoing 146 SBE procedures, technical success was 81.5%, which was noninferior to the overall technical success with NMSE (87.3%) performed in 46 patients (55 procedures) (P = .61). However, technical success was higher with NMSE when the location of the anticipated lesion was taken into consideration, being higher in lesions in the proximal ileum
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DISCLOSURE: All authors disclosed no financial relationships.