2026-04-17T03:03:04Zhttps://recercat.cat/oai/request

oai:recercat.cat:2445/2228732025-11-19T22:45:46Zcom_2072_1057col_2072_478917col_2072_478921

00925njm 22002777a 4500 dc Giordano, Antonio author Compañy, Luis author Alajarin Cervera, Miriam author Ruiz Gómez, Francisco Antonio author Fernández Gil, Pedro Luís author Alonso Lázaro, Noelia author Sola Vera, Javier author Urpí Ferreruela, Miquel author Aicart Ramos, Marta author Parejo Carbonell, Sofía author Dedeu Cuscó, Josep Maria author Prieto Frías, César author Bógalo Romero, Cintia author Egea Valenzuela, Juan author Carretero, Cristina author Pons Beltrán, Vicente author González Suárez, Begoña author 2025-09-01T12:24:46Z 2025-09-01T12:24:46Z 2024-07-22 2025-09-01T12:24:46Z Motorized spiral enteroscopy (MSE) enhances small bowel exploration, but the optimal target population for this technique is unknown. We aimed to identify the target population for MSE by evaluating its efficacy and safety, as well as detecting predictors of efficacy. A prospective multicenter observational study was conducted at 9 tertiary hospitals in Spain, enrolling patients between June 2020–2022. Analyzed data included demographics, indications for the procedure, exploration time, depth of maximum insertion (DMI), technical success, diagnostic yield, interventional yield, and adverse events (AE) up to 14 days from enteroscopy. Patients with prior gastrointestinal surgery, unsuccessful balloon enteroscopy and small bowel strictures were analyzed. A total of 326 enteroscopies (66.6% oral route) were performed in 294 patients (55.1% males, 65 years ± 21). Prior abdominal surgery was present in 50% of procedures (13.5% gastrointestinal surgery). Lower DMI (162 vs 275 cm, p = 0.037) and diagnostic yield (47.7 vs 67.5%, p = 0.016) were observed in patients with prior gastrointestinal surgery. MSE showed 92.2% technical success and 56.9% diagnostic yield after unsuccessful balloon enteroscopy (n = 51). In suspected small bowel strictures (n = 49), the finding was confirmed in 23 procedures (46.9%). The total AE rate was 10.7% (1.8% classified as major events) with no differences related to prior gastrointestinal/abdominal surgery, unsuccessful enteroscopy, or suspected small bowel strictures. The study demonstrates that MSE has a lower diagnostic yield and DMI in patients with prior gastrointestinal surgery but is feasible after unsuccessful balloon-enteroscopy and in suspected small bowel strictures without safety concerns. http://hdl.handle.net/2445/222873 Cirurgia intestinal Enteroscòpia Intestinal surgery Enteroscopy Prospective multicenter study to identify optimal target population for motorized spiral enteroscopy