Endoscopy 2020; 52(S 01): S46
DOI: 10.1055/s-0040-1704142
ESGE Days 2020 oral presentations
Thursday, April 23, 2020 14:30 – 16:00 Twist and shout through the bowel Liffey Meeting Room 1
© Georg Thieme Verlag KG Stuttgart · New York

JEJUNAL POLYPECTOMY WITH NOVEL MOTORIZED SPIRAL ENTEROSCOPY (MSE) BY AN INEXPERIENCED OPERATOR AFTER FAILED CONVENTIONAL ENTEROSCOPY BY AN EXPERT: A TRUE “PROOF OF CONCEPT” EXPERIENCE

EF Valenzuela
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
AC López
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
RSO Hernández
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
PD Redondo
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
JT Tejada
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
CC Herbozo
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
MDB Sanz
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
JG Alonso
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
C De la Serna Higuera
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
,
MPM Castillo
1   Hospital Rio Hortega, Endoscopy Unit, Gastroenterology Department, Valladolid, Spain
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Publikationsverlauf

Publikationsdatum:
23. April 2020 (online)

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    Introduction MSE with foot-pedal controlled spiral overtube facilitates progression by clockwise rotation. As MSE has only been tested diagnostically by experienced operators at referral centers, general applicability needs confirmation.

    Description 81 year-old female with chronic anemia and occult gastrointestinal bleeding. Capsule endoscopy reveals jejunal ulcerated polyp but conventional enteroscopy fails to reach it. After relapsing acute GI bleeding, MSE is performed by a novice operator reaching past the tattoed prior maximal insertion-depth, allowing uneventful saline-asssisted jejunal polypectomy.

    Conclusion We present the first jejunal polypectomy with MSE performed by a non-expert enteroscopist. This experience fulfilled expectations and helped a challenging patient.


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