The evolving role of device-assisted enteroscopy: The state of the art as of August 2023

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI:10.1016/j.bpg.2023.101858
Hironori Yamamoto , Edward J. Despott , Begoña González-Suárez , Marco Pennazio , Klaus Mönkemüller
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引用次数: 3

Abstract

Device-assisted enteroscopy (DAE), balloon-assisted enteroscopy (BAE) in particular, has become a routine endoscopic procedure which has revolutionized our approach to small-bowel disease. Evidence demonstrating the efficacy and safety of BAE spans over 22-years of experience, making it an established pillar of minimally invasive care. The robust evidence for BAE's safety and efficacy has now been incorporated into international clinical guidelines, technical reviews, benchmarking performance measures and curricula. The more recently introduced motorized spiral enteroscopy (MSE) which had replaced the previous manual version, abruptly ended its 7-year stint in clinical practice, when it was withdrawn and recalled from the market by its manufacturing company in July 2023, due to several associated serious adverse events (including fatalities).

This article, written by the original developer of double-balloon enteroscopy (DBE) and other recognized international experts and pioneers in this field, focuses mainly on the technical aspects, evolving indications, and equipment-related technological advances. Despite the very recent withdrawal of MSE from clinical practice, for completeness, this technology and its technique is still briefly covered here, albeit importantly, along with a short description of reported, associated, serious adverse events which have contributed to its withdrawal/recall from the market and clinical practice.

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设备辅助肠镜检查的演变作用:截至2023年8月的最新状态
设备辅助肠镜检查(DAE),特别是球囊辅助肠镜(BAE),已经成为一种常规的内镜手术,它彻底改变了我们治疗小肠疾病的方法。证明BAE有效性和安全性的证据涵盖了超过22年的经验,使其成为微创护理的既定支柱。BAE安全性和有效性的有力证据现已纳入国际临床指南、技术审查、基准绩效衡量标准和课程。最近推出的电动螺旋肠镜(MSE)取代了以前的手动版本,突然结束了其7年的临床实践,2023年7月,由于几起相关的严重不良事件(包括死亡),其制造公司将其撤出并召回市场,由双气囊肠镜(DBE)的原始开发者和该领域其他公认的国际专家和先驱撰写,主要关注技术方面、不断发展的适应症和设备相关的技术进步。尽管MSE最近退出了临床实践,但为了完整性,本文仍简要介绍了这项技术及其技术,尽管这一点很重要,同时简要描述了导致其退出/召回市场和临床实践的已报告、相关、严重不良事件。
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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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