{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T18:51:47Z","timestamp":1769626307655,"version":"3.49.0"},"reference-count":21,"publisher":"The Korean Society of Gastrointestinal Endoscopy","issue":"1","license":[{"start":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T00:00:00Z","timestamp":1760054400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["e-ce.org"],"crossmark-restriction":true},"short-container-title":["Clin Endosc"],"published-print":{"date-parts":[[2026,1,30]]},"abstract":"<jats:p>Background\/Aims: Device-assisted enteroscopy has advanced small bowel disorder management. We conducted this meta-analysis to compare the clinical and procedural outcomes between spiral enteroscopy and single-balloon enteroscopy.Methods: A systematic search was performed on December 1, 2024, in the PubMed, Scopus, and Cochrane Library databases to identify studies that compared spiral enteroscopy and single-balloon enteroscopy. The outcomes included diagnostic and therapeutic yields, total procedure time, depth of maximum insertion, and adverse event rates.Results: Five studies (including 496 patients) met the inclusion criteria. The diagnostic yield was similar between spiral enteroscopy and single-balloon enteroscopy (risk ratio [RR], 1.07; 95% confidence interval [CI], 0.96\u20131.20; p=0.24). The therapeutic yield also showed no significant difference (RR, 1.10; 95% CI, 0.45\u20132.69; p=0.83). The total procedure time was comparable (mean difference, \u201322.85 minutes; 95% CI, \u201346.83 to 1.12; p=0.06), although motorized spiral enteroscopy reduced the procedure time (p&lt;0.001). Spiral enteroscopy achieved greater depth of maximum insertion (standardized mean difference, 1.33; 95% CI, 0.65\u20132.01; p&lt;0.001). Adverse event rates were comparable (RR, 1.72; 95% CI, 0.80\u20133.70; p=0.16).Conclusions: Spiral and single-balloon enteroscopies demonstrated similar diagnostic and therapeutic yields and safety. Spiral enteroscopy achieved a greater insertion depth, and motorized systems improved the efficiency in terms of procedure times.<\/jats:p>","DOI":"10.5946\/ce.2025.184","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T08:01:19Z","timestamp":1760083279000},"page":"49-57","update-policy":"https:\/\/doi.org\/10.5946\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Spiral enteroscopy versus single-balloon enteroscopy for the evaluation and treatment of small bowel disorders: a systematic review and meta-analysis"],"prefix":"10.5946","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6751-619X","authenticated-orcid":true,"given":"Bisher","family":"Sawaf","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0113-5117","authenticated-orcid":true,"given":"Mohammed 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