Table 2 Indication of MSE exploration in patients with suspected SB strictures.
From: Prospective multicenter study to identify optimal target population for motorized spiral enteroscopy
Clinical presentation | Pre-enteroscopy diagnostic procedure | Stricture location | Route of enteroscopy exploration | MSE Technical success | MSE Diagnostic yield | Stricture confirmed | Intervention | Total AE |
|---|---|---|---|---|---|---|---|---|
Suspected IBD, chronic diarrhea with inflammatory biomarkers (n = 13) | CE (3) CT scan (2) MRI-enterography (8) | Proximal jejunum (3) Distal jejunum (2) Proximal ileum (2) Distal ileum (6) | Oral (7) Anal (6) | 100% (13/13) | 69.2% (9/13) | 46.2% (6/13) | Endoscopic balloon dilation (3) APC (1) Biopsy (9) | Abdominal pain (1) |
Chronic anemia (n = 9) | CE (8) CT scan (1) | Proximal jejunum (1) Distal jejunum (2) Proximal ileum (2) Distal ileum (4) | Oral (5) Anal (4) | 88.8% (8/9) | 77.7% (7/9) | 66.6% (6/9) | Endoscopic balloon dilation (2) Biopsy (7) | – |
Abdominal pain (n = 23) | CT scan (10) MRI-enterography (12) CE (1) | Proximal jejunum (1) Distal jejunum (3) Proximal ileum (4) Distal ileum (15) | Oral (8) Anal (15) | 82.6% (19/23) | 52.2% (12/23) | 47.8% (11/23) | Capsule Endoscopy extraction (1) Endoscopic balloon dilation (2) Biopsy (16) | Abdominal pain (2) Difficult withdrawal through the esophagus (1) |
Incidental finding (n = 4) | CT scan (4) | Proximal jejunum (1) Distal jejunum (1) Proximal ileum (0) Distal ileum (2) | Oral (3) Anal (1) | 50% (2/4) | 25% (n = 1) | – | – | – |
