Single-operator Versus Two-operator Technique in Single-balloon Enteroscopy
Single-operator Versus Two-operator Technique in Single-balloon Enteroscopy: a Prospective, Multicenter, Non-inferiority Randomized Controlled Trial
Shuhui Liang
206 participants
May 1, 2024
INTERVENTIONAL
Conditions
Summary
Compared to two-operator single-balloon enteroscopy, single-operator procedure not only offer better maneuverability but may also prevent prolonged examination times and potential complications caused by poor coordination between operators. Additionally, it can optimize staffing in the endoscopy suite. However, there are no studies comparing the effects of single-operator and two-operator techniques on single-balloon enteroscopy.
Eligibility
Inclusion Criteria2
- age greater than eighteen years;
- suspected small bowel disease with planned enteroscopy
Exclusion Criteria7
- patients with a history of small bowel surgery;
- patients who fail to perform bowel preparation as required;
- patients with existing esophageal varices at high risk of bleeding;
- patients not requiring a deep small-bowel examination, such as those with lesions clearly localized to the proximal jejunum, or terminal ileum;
- patients who are in extremely poor physical condition and are not suitable for general anesthesia, as defined by an ASA score greater than 3;
- pregnant or lactating women;
- patients unable to provide written informed consent.
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Interventions
Insertion procedure of single-balloon enteroscopy. (1) Insert the scope. (2) Angulate the scope to hold the gut and deflate the balloon. (3) Advance the splinting tube. (4) Inflate the balloon. (5) Withdraw both the scope and splinting tube while releasing the angulation. (6) Withdraw both the scope and splinting tube to shorten the intestine. (7) Repeat these steps until the scope reaches the deep part of the small bowel.
Locations(6)
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NCT06280469