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.

Keywords:
Motorized spiral enteroscopy, Occult bleeding, Small bowel disorders
1.
ASGE Standards of Practice Committee, Khashab MA, Pasha SF, Muthusamy VR, et al: The role of deep enteroscopy in the management of small-bowel disorders. Gastrointest Endosc 2015; 82: 600–607.
2.
Baniya R, Upadhya S, Subedi SC, et al: Balloon enteroscopy versus spiral enteroscopy for small-bowel disorders: a systematic review and meta-analysis. Gastrointest Endosc 2017;S0016–5107: 32063–32061.
3.
Rahmi G, Samaha E, Vahedi K, et al: Multicenter comparison of double-balloon enteroscopy and spiral enteroscopy. J Gastroenterol Hepatol 2013; 28: 992–998.
4.
Akerman PA: Spiral enteroscopy versus double-balloon enteroscopy: choosing the right tool for the job. Gastrointest Endosc 2013; 77: 252–254.
5.
Akerman PA, DeMarco DC, Pangtay J, et al: A novel motorized spiral enteroscope can advance rapidly, safely and deeply into the small bowel. Gastrointest Endosc 2011; 73:AB446.
6.
Neuhaus H, Beyna T, Schneider M, et al: Novel motorized spiral enteroscopy: first clinical case. Gastrointest Endosc 2016; 83:AB637.
7.
Kim J: Training in endoscopy: enteroscopy. Clin Endosc 2017; 50: 328–333.
© 2018 S. Karger AG, Basel
2018
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.