Role of Deep Enteroscopy in the Management of Small-Bowel Disorders

Publication Date: October 2, 2015
Last Updated: January 19, 2024


Recommendations

We recommend DE as an effective and safe technique for small-bowel examination. (⊕⊕⊕⊕)
312101
We recommend DBE as the most effective deep enteroscopy technique for achieving total enteroscopy. (⊕⊕⊕o)
312101
We suggest either DBE or SBE for retrograde enteroscopy. (⊕⊕oo)
312101
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)
312101
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)
312101
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)
312101
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)
312101

Recommendation Grading

Overview

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

January 19, 2024

Document Type

Guideline

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