{"title":"新型电动肠镜在评估小肠疾病中的作用:系统回顾与元分析》。","authors":"Zaheer Nabi, Jayanta Samanta, Radhika Chavan, Jahnvi Dhar, Sabir Hussain, Aniruddha Pratap Singh, Hardik Rughwani, D Nageshwar Reddy","doi":"10.1097/MCG.0000000000001862","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and aim: </strong>Motorized spiral enteroscopy (MSE) has recently been introduced for small bowel evaluation. In this systematic review and meta-analysis, we aim to evaluate the safety and efficacy of MSE for evaluation of small bowel diseases.</p><p><strong>Methods: </strong>A literature search was performed in Embase, PubMed, Medline databases for studies evaluating MSE between January -2010 and October-2022. The primary outcome of the study was diagnostic yield with MSE. Secondary outcomes included technical success, procedure duration, depth of maximum insertion (DMI), rate of pan-enteroscopy and adverse events.</p><p><strong>Results: </strong>10 studies with 961 patients [581 (60.5%) males] were included in the analysis. 1068 MSE procedures were performed by antegrade route in 698, retrograde route in 215 and bidirectional in 155 patients. Technical success was achieved in 94.9% (95% CI 92.9% to 96.4%) procedures. The pooled diagnostic yield of MSE was 73.7% (95% CI 70.7% to 76.4%). Pooled rate of pan-enteroscopy by antegrade route was 21.9% (95% CI 18.1% to 26.1%), retrograde route was 6.9% (95% CI 2.4% to 18.3%) and combined route was 61.2% (95% CI 52.4% to 69.3%). Pooled rate of major adverse events was 1.9% (95% CI 1.2% to 3.2%).</p><p><strong>Conclusions: </strong>MSE is a safe and effective tool for evaluating small bowel disorders. High diagnostic yield and low rate of adverse events make it a potential alternative to balloon enteroscopy. However, comparative trials are required in the future.</p>","PeriodicalId":15457,"journal":{"name":"Journal of clinical gastroenterology","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Role of Novel Motorized Enteroscopy in the Evaluation of Small Bowel Diseases: A Systematic Review and Meta-analysis.\",\"authors\":\"Zaheer Nabi, Jayanta Samanta, Radhika Chavan, Jahnvi Dhar, Sabir Hussain, Aniruddha Pratap Singh, Hardik Rughwani, D Nageshwar Reddy\",\"doi\":\"10.1097/MCG.0000000000001862\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and aim: </strong>Motorized spiral enteroscopy (MSE) has recently been introduced for small bowel evaluation. 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Pooled rate of pan-enteroscopy by antegrade route was 21.9% (95% CI 18.1% to 26.1%), retrograde route was 6.9% (95% CI 2.4% to 18.3%) and combined route was 61.2% (95% CI 52.4% to 69.3%). Pooled rate of major adverse events was 1.9% (95% CI 1.2% to 3.2%).</p><p><strong>Conclusions: </strong>MSE is a safe and effective tool for evaluating small bowel disorders. High diagnostic yield and low rate of adverse events make it a potential alternative to balloon enteroscopy. 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引用次数: 0
摘要
背景和目的:电动螺旋肠镜(MSE)最近被引入小肠评估。在本系统综述和荟萃分析中,我们旨在评估 MSE 用于评估小肠疾病的安全性和有效性:方法:我们在 Embase、PubMed 和 Medline 数据库中检索了 2010 年 1 月至 2022 年 10 月期间评估 MSE 的研究文献。研究的主要结果是 MSE 的诊断率。次要结果包括技术成功率、手术持续时间、最大插入深度(DMI)、泛肠镜检查率和不良事件:结果:10 项研究共纳入了 961 名患者[581 名(60.5%)男性]。1068 例 MSE 手术中,698 例采用前行途径,215 例采用后行途径,155 例采用双向途径。94.9%(95% CI 92.9%-96.4%)的手术取得了技术成功。MSE的汇总诊断率为73.7%(95% CI为70.7%至76.4%)。经前向途径进行泛内镜检查的汇总率为21.9%(95% CI 18.1%至26.1%),经后向途径为6.9%(95% CI 2.4%至18.3%),综合途径为61.2%(95% CI 52.4%至69.3%)。主要不良事件的汇总率为1.9%(95% CI 1.2%至3.2%):MSE是评估小肠疾病的一种安全有效的工具。结论:MSE 是评估小肠疾病的一种安全有效的工具,诊断率高,不良反应发生率低,有可能替代球囊肠镜。不过,未来还需要进行比较试验。
Role of Novel Motorized Enteroscopy in the Evaluation of Small Bowel Diseases: A Systematic Review and Meta-analysis.
Background and aim: Motorized spiral enteroscopy (MSE) has recently been introduced for small bowel evaluation. In this systematic review and meta-analysis, we aim to evaluate the safety and efficacy of MSE for evaluation of small bowel diseases.
Methods: A literature search was performed in Embase, PubMed, Medline databases for studies evaluating MSE between January -2010 and October-2022. The primary outcome of the study was diagnostic yield with MSE. Secondary outcomes included technical success, procedure duration, depth of maximum insertion (DMI), rate of pan-enteroscopy and adverse events.
Results: 10 studies with 961 patients [581 (60.5%) males] were included in the analysis. 1068 MSE procedures were performed by antegrade route in 698, retrograde route in 215 and bidirectional in 155 patients. Technical success was achieved in 94.9% (95% CI 92.9% to 96.4%) procedures. The pooled diagnostic yield of MSE was 73.7% (95% CI 70.7% to 76.4%). Pooled rate of pan-enteroscopy by antegrade route was 21.9% (95% CI 18.1% to 26.1%), retrograde route was 6.9% (95% CI 2.4% to 18.3%) and combined route was 61.2% (95% CI 52.4% to 69.3%). Pooled rate of major adverse events was 1.9% (95% CI 1.2% to 3.2%).
Conclusions: MSE is a safe and effective tool for evaluating small bowel disorders. High diagnostic yield and low rate of adverse events make it a potential alternative to balloon enteroscopy. However, comparative trials are required in the future.
期刊介绍:
Journal of Clinical Gastroenterology gathers the world''s latest, most relevant clinical studies and reviews, case reports, and technical expertise in a single source. Regular features include cutting-edge, peer-reviewed articles and clinical reviews that put the latest research and development into the context of your practice. Also included are biographies, focused organ reviews, practice management, and therapeutic recommendations.