Clinical Endoscopy

  • 제58권4호
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  • Pages.569-576
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  • 2025
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  • 2234-2400(pISSN)
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  • 2234-2443(eISSN)
대한소화기내시경학회 (The Korean Society of Gastrointestinal Endoscopy)
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Double-balloon is equal to motorized spiral enteroscopy in a German prospective, randomized trial

  • Mate Knabe (Center Gastroenterology Bethanien Bethanien Hospital Frankfurt) ;
  • Myriam Heilani (Department of Internal Medicine I, Hospital of the Goethe University Frankfurt) ;
  • Jens Wetzka (Department of Gastroenterology, Oncology and Pneumology, Asklepios Paulinen Klinik) ;
  • Lukas Welsch (Department of Internal Medicine II, Klinikum Hanau) ;
  • Georg Dultz (Department of Internal Medicine I, Hospital of the Goethe University Frankfurt) ;
  • Insa Aschmoneit-Messer (Department of Gastroenterology, Oncology and Pneumology, Asklepios Paulinen Klinik) ;
  • Eva Herrmann (Department of Medicine, Institute of Biostatistics and Mathematical Modeling, Goethe University of Frankfurt) ;
  • Stefan Zeuzem (Department of Internal Medicine I, Hospital of the Goethe University Frankfurt) ;
  • Andrea May (Department of Gastroenterology, Oncology and Pneumology, Asklepios Paulinen Klinik)
  • 투고 : 2024.11.15
  • 심사 : 2025.02.06
  • 발행 : 2025.07.30
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초록

Background/Aims: Deep enteroscopy is a challenging and time-consuming procedure. Two devices have become the clinical standards for patients: double-balloon enteroscopy (DBE) and motorized spiral enteroscopy (mSPE). Initially, mSPE demonstrated impressive results, with high rates of total enteroscopy, which were superior to those of all other devices. However, for safety reasons, mSPE was withdrawn from the market, and it remains uncertain whether it will return after technical improvements. This prospective randomized trial aimed to compare the DBE and mSPE. Methods: Patients indicated for enteroscopy were randomized to undergo either mSPE or DBE. The time to diagnosis or complete enteroscopy was measured, and all complications were recorded. Results: A total of 48 enteroscopic procedures were performed, including 23 mSPE and 25 DBE. No significant difference was noted in the procedure time (p=0.212). The mSPE group exhibited a shorter mean procedure time of 54 (range, 15-114; standard deviation [SD], 26) minutes, whereas the DBE group had a mean procedure time of 63 (range, 20-131; SD, 25) minutes. One perforation was seen in the mSPE group. Conclusions: DBE and mSPE are both effective enteroscopy methods but showed no significant difference in this randomized trial (German trial registry: DRKS 00025890).

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참고문헌

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