PMID- 38361713
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240217
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 16
IP  - 1
DP  - 2024 Jan
TI  - Motorized Power Spiral Enteroscopy (MSE): Is Routine Bougienage of the Upper 
      Esophageal Sphincter (UES) Necessary?
PG  - e52342
LID - 10.7759/cureus.52342 [doi]
LID - e52342
AB  - Introduction Wire-guided bougienage of the upper esophageal sphincter (UES) was 
      performed routinely before per-oral motorized power spiral enteroscopy (MSE). In 
      the present study, we aimed to answer the clinical question of whether routine 
      bougienage of UES is required. Methods This was a retrospective study that 
      included 20 patients who underwent antegrade spiral enteroscopy for various 
      indications. The feasibility and safety of anterograde MSE without prior bougie 
      dilatation of the upper esophageal sphincter were assessed. The technical success 
      rate (TSR), diagnostic yield, and adverse events (AEs) were also assessed. 
      Results In 16 out of the 20 patients, a spiral enteroscope was taken directly 
      across UES into the esophagus without a prior bougie dilatation. The spiral 
      enteroscope could not be negotiated across UES only in one patient, and bougie 
      dilatation was done. The technical success rate was 100%. The diagnostic yield 
      was 80%. Four patients reported AEs. Conclusions MSE had a good technical success 
      rate and diagnostic yield. Routine dilatation of the UES before the procedure may 
      be unnecessary.
CI  - Copyright (c) 2024, Singh et al.
FAU - Singh, Alok Kumar
AU  - Singh AK
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
FAU - Srivastava, Siddharth
AU  - Srivastava S
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
FAU - Sonika, Ujjwal
AU  - Sonika U
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
FAU - Sachdeva, Sanjeev
AU  - Sachdeva S
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
FAU - Aneesh, Payila
AU  - Aneesh P
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
FAU - Kumar, Ajay
AU  - Kumar A
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
FAU - Sharma, Barjesh C
AU  - Sharma BC
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
FAU - Dalal, Ashok
AU  - Dalal A
AD  - Gastroenterology and Hepatology, G.B. Pant Hospital, New Delhi, IND.
LA  - eng
PT  - Journal Article
DEP - 20240115
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10867537
OTO - NOTNLM
OT  - bougie dilatation
OT  - bougienage
OT  - enteroscope
OT  - motorized power spiral enteroscopy
OT  - upper esophageal sphincter
COIS- The authors have declared that no competing interests exist.
EDAT- 2024/02/16 06:43
MHDA- 2024/02/16 06:44
PMCR- 2024/01/15
CRDT- 2024/02/16 03:46
PHST- 2024/01/15 00:00 [accepted]
PHST- 2024/02/16 06:44 [medline]
PHST- 2024/02/16 06:43 [pubmed]
PHST- 2024/02/16 03:46 [entrez]
PHST- 2024/01/15 00:00 [pmc-release]
AID - 10.7759/cureus.52342 [doi]
PST - epublish
SO  - Cureus. 2024 Jan 15;16(1):e52342. doi: 10.7759/cureus.52342. eCollection 2024 
      Jan.