Mans Laura, Arvanitakis Marianna, Neuhaus Horst, Devière Jacques
Department of Gastroenterology, Hepatopancreatology, and Digestive Oncology, Hôpital Erasme, Université Libre de Bruxelles, Brussels, Belgium.
Department of Internal Medicine, Evangelisches Krankenhaus Düsseldorf, Düsseldorf, Germany.
Dig Dis. 2018;36(4):325-327. doi: 10.1159/000488479. Epub 2018 Apr 26.
Small-bowel disorders remain a diagnostic and therapeutic challenge due to intestinal length. Their management was revolutionized by the emergence of deep enteroscopy. In comparison with video capsule endoscopy, deep enteroscopy allows diagnostic and therapeutic interventions. Spiral enteroscopy (Spirus Medical Endo-Ease Overtube) achieves progression by gentle push and manual clockwise rotation inducing pleating of the small bowel on the endoscope. It has the advantage of shorter examination time and more stability during withdrawal but requires two operators. The Novel Motorized Spiral Enteroscope (Olympus Corp.) incorporates a user-controlled motor contained in the handle of the endoscope. This would offer the possibility to accelerate the procedure, facilitate insertion, and simplify the technique with a single operator.
由于小肠长度的原因，小肠疾病在诊断和治疗方面仍然是一项挑战。深度小肠镜检查的出现彻底改变了其治疗方式。与视频胶囊内镜相比，深度小肠镜检查能够进行诊断和治疗干预。螺旋小肠镜（Spirus Medical Endo-Ease外套管）通过轻柔推送和手动顺时针旋转使小肠在内镜上形成褶皱来推进。它具有检查时间较短、退镜时更稳定的优点，但需要两名操作人员。新型电动螺旋小肠镜（奥林巴斯公司）在内镜手柄中集成了用户控制的电机。这将有可能加快操作过程、便于插入，并由单一操作人员简化操作技术。
