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Create a Free AccountProcedures - Enteroscopy
Motorized spiral enteroscope-assisted retrieval of video capsule in a patient with Crohn’s disease
A 36-year-old man with chronic kidney disease on maintenance hemodialysis was evaluated elsewhere for obscure GI bleeding requiring multiple blood transfusions. A capsule endoscopy (CE) performed at that center showed ileal stricture and poor progression of the capsule beyond the stricture. CT showed the CE device in the proximal ileal loop, with no signs of small-bowel obstruction. Laboratory test results showed highly sensitive C-reactive protein and fecal calprotectin levels (>500 μg/mg) suggestive of inflammatory bowel disease.Complete anterograde small-bowel exploration with the novel motorized spiral enteroscope
The advent of deep enteroscopy with the support of capsule endoscopy has given impetus to the diagnosis and therapy of small-bowel diseases, especially in relation to GI bleeding and Crohn’s disease.1 However, deep enteroscopy still has a few limitations, such as the difficulty of fully exploring the small bowel and inaccurate measure of the enteroscope insertion depth.2
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