R.LIANG1, K.KALAIYARASI1, W.K.NG1, S.K.K.TSAO1, C.K.F.VU1
Tan Tock Seng Hospital1
Motorized spiral enteroscopy (MSE) has revolutionized the field of small bowel endoscopy. Data is emerging from Western populations demonstrating its clinical efficacy, safety, and diagnostic yield. In this case series, we describe our pilot experience with the novel motorized spiral enteroscope in a single tertiary care center in Singapore.
A retrospective case series of six consecutive patients with clinically appropriate indications for enteroscopy is reported. Objectives were to assess the clinical efficacy, procedural yield, and adverse outcomes of MSE.
Seven MSE procedures (five antegrade, two retrograde) were performed on six patients over a two-month period. Mean patient age was 64 years. Technical success rate was 85.7% (six out of seven procedures), with a median procedural time of 121 minutes (IQR 48 – 149.5 minutes). Panenteroscopy to cecum was achieved in one antegrade procedure. Overall procedural yield was 71.4% (five out of seven procedures). One patient experienced proximal esophageal mucosal injury on scope insertion, resulting in an adverse event rate of 14.3%. No other serious adverse events were seen.
In appropriately selected cases, MSE facilitates safe and efficient access to the small bowel with high procedural yield.