Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine
Background/Aims We retrospectively analyzed Crohn’s disease (CD) patients with small intestinal strictures who underwent single-balloon enteroscopy (SBE) to ascertain whether prototype SBEs with a passive bending mechanism and high force transmission insertion tube had better insertability in the sm...
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2020-04-01
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doaj-462ac6b9afda47b1a9ce6fdca2f4c8722020-11-25T03:04:12ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562020-04-0118222923710.5217/ir.2019.09150823Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestineYasuhiro Morita0Shigeki Bamba1Osamu Inatomi2Kenichiro Takahashi3Takayuki Imai4Masaki Murata5Masashi Ohno6Masaya Sasaki7Tomoyuki Tsujikawa8Akira Andoh9 Department of Medicine, Shiga University of Medical Science, Otsu, Japan Division of Clinical Nutrition, Shiga University of Medical Science, Otsu, Japan Department of Medicine, Shiga University of Medical Science, Otsu, Japan Department of Medicine, Shiga University of Medical Science, Otsu, Japan Department of Medicine, Shiga University of Medical Science, Otsu, Japan Department of Medicine, Shiga University of Medical Science, Otsu, Japan Department of Medicine, Shiga University of Medical Science, Otsu, Japan Division of Clinical Nutrition, Shiga University of Medical Science, Otsu, Japan Department of Comprehensive Internal Medicine, Shiga University of Medical Science, Otsu, Japan Department of Medicine, Shiga University of Medical Science, Otsu, JapanBackground/Aims We retrospectively analyzed Crohn’s disease (CD) patients with small intestinal strictures who underwent single-balloon enteroscopy (SBE) to ascertain whether prototype SBEs with a passive bending mechanism and high force transmission insertion tube had better insertability in the small intestine than a conventional SBE. Methods Among 253 CD patients who underwent SBE, we identified 94 CD patients who had undergone attempted endoscopic balloon dilatation (EBD) for small intestinal stenosis for inclusion in this study. We analyzed whether the type of scope used for their initial procedure affected the cumulative surgery-free rate. For the insertability analysis, patients who underwent SBE at least twice were divided into 3 groups according to the type of scope used: conventional SBE only, prototype SBE only, and both conventional and prototype SBEs. For each group, depth of insertion, procedure time, and number of EBDs were compared in the same patient at different time points. Results The success rate of EBD was 88.3%. The 5- and 10-year cumulative surgery-free rate was 75.7% and 72.8%, respectively. Cox regression analysis indicated that the factors contributing to surgery were long stricture (≥2 cm), EBD failure, and elevated Crohn’s Disease Activity Index, but not the type of scope used for EBD. The prototype SBEs significantly improved the depth of insertion (P=0.03, Wilcoxon’s signed-rank test). Conclusions In CD patients with small intestinal stenosis, the prototype SBEs with a passive bending mechanism and high force transmission insertion tube did not improve long-term EBD outcome but did improve deep insertability. (Clinical Trial Registration No. UMIN000037102)http://www.irjournal.org/upload/pdf/ir-2019-09150.pdfballoon-assisted enteroscopydilationdouble-balloon enteroscopy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yasuhiro Morita Shigeki Bamba Osamu Inatomi Kenichiro Takahashi Takayuki Imai Masaki Murata Masashi Ohno Masaya Sasaki Tomoyuki Tsujikawa Akira Andoh |
spellingShingle |
Yasuhiro Morita Shigeki Bamba Osamu Inatomi Kenichiro Takahashi Takayuki Imai Masaki Murata Masashi Ohno Masaya Sasaki Tomoyuki Tsujikawa Akira Andoh Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine Intestinal Research balloon-assisted enteroscopy dilation double-balloon enteroscopy |
author_facet |
Yasuhiro Morita Shigeki Bamba Osamu Inatomi Kenichiro Takahashi Takayuki Imai Masaki Murata Masashi Ohno Masaya Sasaki Tomoyuki Tsujikawa Akira Andoh |
author_sort |
Yasuhiro Morita |
title |
Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine |
title_short |
Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine |
title_full |
Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine |
title_fullStr |
Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine |
title_full_unstemmed |
Prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine |
title_sort |
prototype single-balloon enteroscopy with passive bending and high force transmission improves depth of insertion in the small intestine |
publisher |
Korean Association for the Study of Intestinal Diseases |
series |
Intestinal Research |
issn |
1598-9100 2288-1956 |
publishDate |
2020-04-01 |
description |
Background/Aims We retrospectively analyzed Crohn’s disease (CD) patients with small intestinal strictures who underwent single-balloon enteroscopy (SBE) to ascertain whether prototype SBEs with a passive bending mechanism and high force transmission insertion tube had better insertability in the small intestine than a conventional SBE. Methods Among 253 CD patients who underwent SBE, we identified 94 CD patients who had undergone attempted endoscopic balloon dilatation (EBD) for small intestinal stenosis for inclusion in this study. We analyzed whether the type of scope used for their initial procedure affected the cumulative surgery-free rate. For the insertability analysis, patients who underwent SBE at least twice were divided into 3 groups according to the type of scope used: conventional SBE only, prototype SBE only, and both conventional and prototype SBEs. For each group, depth of insertion, procedure time, and number of EBDs were compared in the same patient at different time points. Results The success rate of EBD was 88.3%. The 5- and 10-year cumulative surgery-free rate was 75.7% and 72.8%, respectively. Cox regression analysis indicated that the factors contributing to surgery were long stricture (≥2 cm), EBD failure, and elevated Crohn’s Disease Activity Index, but not the type of scope used for EBD. The prototype SBEs significantly improved the depth of insertion (P=0.03, Wilcoxon’s signed-rank test). Conclusions In CD patients with small intestinal stenosis, the prototype SBEs with a passive bending mechanism and high force transmission insertion tube did not improve long-term EBD outcome but did improve deep insertability. (Clinical Trial Registration No. UMIN000037102) |
topic |
balloon-assisted enteroscopy dilation double-balloon enteroscopy |
url |
http://www.irjournal.org/upload/pdf/ir-2019-09150.pdf |
work_keys_str_mv |
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