Deep Enteroscopy in the Management of Small-Bowel Disorders
Publication Date: October 2, 2015
Last Updated: March 14, 2022
Recommendations
We recommend DE as an effective and safe technique for small-bowel examination. (⊕⊕⊕⊕)
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We recommend DBE as the most effective deep enteroscopy technique for achieving total enteroscopy. (⊕⊕⊕o)
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We suggest either DBE or SBE for retrograde enteroscopy. (⊕⊕oo)
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We recommend VCE as the first-line diagnostic tool for small-bowel evaluation in patients with OGIB. DE may be considered when positive findings are identified on VCE. (⊕ooo)
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We suggest that in select circumstances (eg, surgically altered anatomy or high suspicion for small-bowel angiectasias) DE may be considered as the initial small-bowel diagnostic procedure in patients with OGIB. (⊕⊕oo)
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We suggest that DE be used for tissue diagnosis and therapeutic interventions in patients with small-bowel tumors detected by other diagnostic tests (eg, VCE) or in those with high suspicion for tumors despite initial negative testing. (⊕⊕oo)
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We suggest that DE be considered in Crohn’s disease patients with abnormalities seen on other imaging studies, if these abnormalities are within reach of the enteroscope. DE allows endoscopic and histologic evaluation and the potential for therapeutic interventions such as hemostasis, stricture dilation, or foreign body retrieval. (⊕⊕oo)
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Title
Role of Deep Enteroscopy in the Management of Small-Bowel Disorders
Authoring Organization
American Society for Gastrointestinal Endoscopy
Publication Month/Year
October 2, 2015
Last Updated Month/Year
April 5, 2023
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Infant, Older adult
Health Care Settings
Ambulatory, Emergency care, Hospital, Laboratory services, Outpatient
Intended Users
Medical assistant, laboratory technician, nurse, nurse practitioner, physician, physician assistant
Scope
Assessment and screening, Diagnosis, Prevention, Management
Diseases/Conditions (MeSH)
D003424 - Crohn Disease, D046152 - Gastrointestinal Stromal Tumors
Keywords
deep enteroscopy, small-bowel disorders, video capsule endoscopy
Source Citation
Khashab, M. A., Pasha, S. F., Muthusamy, V. R., Acosta, R. D., Bruining, D. H., Chandrasekhara, V., … DeWitt, J. M. (2015). The role of deep enteroscopy in the management of small-bowel disorders. Gastrointestinal Endoscopy, 82(4), 600–607. doi:10.1016/j.gie.2015.06.046
Methodology
Number of Source Documents
83
Literature Search Start Date
January 2, 1975
Literature Search End Date
December 2, 2013