Abstract
'Doing the twist': insight gained from spiral enteroscopy.
Highlights
Innovation over the past decade has led to the development of novel techniques that enable deep enteroscopy, completion of previously failed colonoscopies and that permit access to the papilla in patients with surgically altered anatomy
While all conventional complications of standard endoscopy are possible, considerable attention has been devoted to pancreatitis, which has been observed in 0.2% to 0.3% of Double-balloon enteroscopy (DBE) cases [6,7,8]
Taken together with a large multicentre registry study reported in abstract form [12], in which no cases of pancreatitis were observed following 1750 spiral procedures, it certainly would appear that the risk of clinical pancreatitis following spiral enteroscopy is much lower than that observed following balloon enteroscopy
Summary
Innovation over the past decade has led to the development of novel techniques that enable deep enteroscopy, completion of previously failed colonoscopies and that permit access to the papilla in patients with surgically altered anatomy. In addition to clinical pancreatitis, asymptomatic hyperamylasemia is a well recognized and significantly more frequent phenomenon. Pancreatitis following SBE hadn’t been reported until recently [9] but hyperamylasemia has been frequently observed [10].
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