title: Prospective study of therapeutic spiral enteroscopy in patients with surgically altered anatomy.
abstract: BACKGROUND
  Spiral enteroscopy is rapidly emerging, along with double- and single-balloon enteroscopy, as a paramount method to evaluate lesions in the deep small bowel. While the latter two methods have been used to manage patients with surgically altered anatomy, there are few reports on the role of spiral enteroscopy in this group. Our principal aim was to characterize the therapeutic uses of spiral enteroscopy in patients with surgically altered anatomy.
  
  
  RESULTS
  Patients with surgically altered anatomy who failed management with conventional endoscopic methods for therapeutic indications were included in this prospective series at our tertiary referral center. The spiral technique was used to control variceal bleeding, dilate enteral anastomotic narrowing, and perform pancreaticobiliary interventions in seven patients. The cases were performed quickly and effectively and the need for surgery was obviated in all cases.
  
  
  CONCLUSIONS
  The spiral enteroscopy system has significant therapeutic potential in patients with surgically altered anatomy.
authors.affiliation: Department of Medicine, Keck School of Medicine, The University of Southern California, Los Angeles, CA, USA. jbuxbaum@usc.edu
authors.forename: James
authors.initials: J
authors.lastname: Buxbaum
authors.forename: Michael
authors.initials: M
authors.lastname: Kline
authors.forename: Robert
authors.initials: R
authors.lastname: Selby
mesh_terms: D000328:Adult; D000368:Aged; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D041981:Gastrointestinal Tract / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies