title: Magnetic endoscope imaging in single-balloon enteroscopy.
abstract: OBJECTIVE
  Magnetic endoscope imaging (MEI) provides continuous viewing of the position of the endoscope on a monitor without using X-ray and has already been established for colonoscopy. The aim of the present study was to evaluate a new MEI probe for enteroscopy.
  
  
  METHODS
  In this prospective feasibility study, consecutive patients received single-balloon enteroscopy guided by the new MEI probe. Fluoroscopy was also used in all examinations. MEI images were compared to fluoroscopy images with respect to concordance of loop configuration by two independent observers after the examinations. Main outcome measurement was the rate of concordant MEI and fluoroscopy images with respect to loop configuration.
  
  
  RESULTS
  In all 10 patients, single-balloon enteroscopy with MEI was carried out without any adverse events or technical difficulties. Concordance of MEI and fluoroscopy images was seen in 36/38 images (95%; 95% CI, 82-99%) by both observers. Overall agreement between the two observers was 95% (κ = 0.47, 95% CI, -0.04-1).
  
  
  CONCLUSIONS
  The use of MEI in single-balloon enteroscopy is safe and feasible. Detection and control of loops can be accurately achieved.
authors.affiliation: II. Medical Department, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
authors.forename: Christoph
authors.initials: C
authors.lastname: Schlag
authors.affiliation: II. Medical Department, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
authors.forename: Bruno
authors.initials: B
authors.lastname: Neu
authors.affiliation: II. Medical Department, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
authors.forename: Peter
authors.initials: P
authors.lastname: Klare
authors.affiliation: Institute for Medical Biometry, Epidemiology and Computer Science, Saarland University, Campus Homburg, Homburg, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: Wagenpfeil
authors.affiliation: II. Medical Department, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
authors.forename: Roland M
authors.initials: RM
authors.lastname: Schmid
authors.affiliation: II. Medical Department, Klinikum rechts der Isar, Technical University Munich, Munich, Germany.
authors.forename: Stefan
authors.initials: S
authors.lastname: von Delius
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D016888:Angiodysplasia / Q000175:diagnosis* / Q000601:surgery; D057908:Argon Plasma Coagulation; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation*; D005240:Feasibility Studies; D005260:Female; D005471:Fluoroscopy; D006801:Humans; D061705:Image-Guided Biopsy; D007410:Intestinal Diseases / Q000175:diagnosis* / Q000601:surgery; D007417:Intestinal Polyps / Q000175:diagnosis* / Q000601:surgery; D053783:Magnetic Resonance Imaging, Interventional / Q000295:instrumentation*; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D011446:Prospective Studies
keywords: balloon endoscopy; enteroscopy; fluoroscopy; magnetic endoscope imaging; small bowel