{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,26]],"date-time":"2025-11-26T15:54:49Z","timestamp":1764172489995},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Gastroenterol"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>\n          Einleitung Zu der motorisierten Spiralenteroskopie des D\u00fcnndarms gibt es bislang nur wenige Daten. Wir berichten \u00fcber unsere fr\u00fchen Erfahrungen mit dieser Methode basierend auf einer retrospektiven Fallserie. Die vorliegende Fallserie an 83 konsekutiven Patienten ist die weltweit vierte Fallserie, die \u00fcber die Ergebnisse bei 68 D\u00fcnndarm-Enteroskopien und bei 15 Enteroskopien\/ERCPs bei Patienten mit voroperiertem Situs berichtet.<\/jats:p><jats:p>\n          Patienten und Methoden Die retrospektive Single-center-Studie wurde von 01\/2020 bis 09\/2021 an 83 konsekutiven Patienten durchgef\u00fchrt. Indikationen waren entweder bekannte oder vermutete Erkrankungen des D\u00fcnndarms oder Erkrankungen der Gallenwege bzw. des Pankreasganges bei mit Roux-Y-Anastomosen voroperierten Patienten.<\/jats:p><jats:p>\n          Ergebnisse Bei 68 Patienten mit der Indikation zur D\u00fcnndarmenteroskopie (38 m; 30 w; mittleres Alter 66,4 J) ergab sich eine diagnostische Genauigkeit von 86,8% bei einem therapeutischen Erfolg von 41,2%. Die mittlere Eindringtiefe in den D\u00fcnndarm lag bei 279 cm bei einer mittleren Untersuchungszeit von 64,3 min. Bei 13 Patienten (19,7%) konnte eine Panenteroskopie durchgef\u00fchrt werden. Bei nicht abdominell voroperierten Patienten lag die Rate intendierter kompletter Enteroskopien bei 46,2%.<\/jats:p><jats:p>Bei 15 Patienten (9 m; 6 w; mittleres Alter 61,8 J) mit postoperativ ver\u00e4nderter Anatomie und Anlage einer Roux-Y-Anastomose lag die Rate der Erreichbarkeit der Papille bzw. einer biliodigestiven Anastomose bei 60%.<\/jats:p><jats:p>Im gesamten Kollektiv betrug die Komplikationsrate 15,7%. Major-Komplikationen wie z.B. Perforationen oder interventionspflichtige Blutungen traten nicht auf.<\/jats:p><jats:p>\n          Diskussion Unsere Fallserie zeigt, dass mit der motorisierten Spiralenteroskopie eine hohe Panenteroskopierate des D\u00fcnndarms erreicht werden kann. Zudem sind die hierf\u00fcr ben\u00f6tigten Untersuchungszeiten relativ kurz. Gr\u00f6\u00dfere und vor allem vergleichende Studien m\u00fcssen hier wie bei den ebenfalls gezeigten ermutigenden Daten zu ERCPs bei mit einer Roux-Y-Anastomose voroperierten Patienten abgewartet werden.<\/jats:p>","DOI":"10.1055\/a-1744-6738","type":"journal-article","created":{"date-parts":[[2022,2,17]],"date-time":"2022-02-17T23:54:10Z","timestamp":1645142050000},"page":"1635-1643","source":"Crossref","is-referenced-by-count":6,"title":["Ergebnisse der motorisierten Spiralenteroskopie des D\u00fcnndarms an 83 konsekutiven Patienten"],"prefix":"10.1055","volume":"60","author":[{"given":"Hendrik","family":"Buchholz","sequence":"additional","affiliation":[{"name":"Gastroenterology, Sana Klinikum Lichtenberg, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Mende","sequence":"additional","affiliation":[{"name":"Gastroenterology, Sana Klinikum Lichtenberg, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steffen","family":"Hornoff","sequence":"additional","affiliation":[{"name":"Gastroenterology, Sana Klinikum Lichtenberg, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siegbert","family":"Faiss","sequence":"additional","affiliation":[{"name":"Gastroenterology, Sana Klinikum Lichtenberg, Berlin, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,2,17]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"417","DOI":"10.1038\/35013140","article-title":"Wireless capsule endoscopy","volume":"405","author":"G Iddan","year":"2000","journal-title":"Nature"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1067\/mge.2001.112181","article-title":"Total enteroscopy with a nonsurgical steerable double-balloon method","volume":"53","author":"H Yamamoto","year":"2001","journal-title":"Gastrointest Endosc"},{"issue":"S 01","key":"ref3","doi-asserted-by":"publisher","first-page":"E276","DOI":"10.1055\/s-2007-966616","article-title":"Balloon-assisted enteroscopy using a single-balloon technique","volume":"39","author":"D Hartmann","year":"2007","journal-title":"Endoscopy"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1016\/j.bpg.2012.01.021","article-title":"Double- vs. single-balloon vs. spiral enteroscopy. 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