University Gastroenterology, The Warren Alpert Medical School of Brown University, 33 Staniford street, Providence, RI 02905, USA.
Best Pract Res Clin Gastroenterol. 2012 Jun;26(3):293-301. doi: 10.1016/j.bpg.2012.03.008.
Spiral enteroscopy is the newest of the deep enteroscopy techniques. The current technique employs an overtube with a raised spiral at the distal end to pleat the small intestine and achieve deep small bowel intubation. Although spiral enteroscopy is a novel technique, the learning curve is comparable to the balloon enteroscopy techniques. There is some evidence of improved speed of spiral enteroscopy procedures with superior control compared to the balloon endoscopy technologies. Altered surgical anatomy deep enteroscopy has been shown to have similar safety and efficacy to competitive technologies, particularly in cases of Roux-en-Y ERCP cases. Spiral enterosopy is safe and effective for deep small bowel enteroscopy and diagnostic yield and therapeutic yields are similar to alternate technologies. There are bright future applications of the technology with enteroscopes and an integrated spiral. Spiral enteroscopy is an advanced technique that can be performed by any skilled endoscopist.
螺旋内镜是最新的深部内镜技术之一。目前的技术采用带有远端凸起螺旋的外套管来折叠小肠并实现深部小肠插管。尽管螺旋内镜是一种新的技术，但学习曲线与气囊内镜技术相当。有证据表明，与气囊内镜技术相比，螺旋内镜技术在操作速度和控制方面有所提高。深部内镜手术的改变解剖结构已被证明与竞争技术具有相似的安全性和疗效，特别是在 Roux-en-Y ERCP 病例中。螺旋内镜术用于深部小肠内镜检查是安全有效的，其诊断和治疗效果与其他技术相似。该技术具有广泛的应用前景，与带有内置螺旋的内镜结合使用。螺旋内镜术是一种先进的技术，任何熟练的内镜医生都可以进行。
