Editorial
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Nov 16, 2024; 16(11): 581-586
Published online Nov 16, 2024. doi: 10.4253/wjge.v16.i11.581
Motorized spiral enteroscopy: A cautious step forward in technological innovation
Shu-Ping Xiao, Hai Lin, Hong-Bin Chen
Shu-Ping Xiao, Hong-Bin Chen, Department of Gastroenterology, Sanming First Hospital Affiliated to Fujian Medical University, Sanming 365000, Fujian Province, China
Hai Lin, Department of Vascular Surgery, Sanming First Hospital Affiliated to Fujian Medical University, Sanming 365000, Fujian Province, China
Co-first authors: Shu-Ping Xiao and Hai Lin.
Author contributions: Chen HB designed the overall concept and outlined of the manuscript; Xiao SP and Lin H contributed to the discussion and design of the manuscript, they contributed equally to this article, they are the co-first authors of this manuscript; Xiao SP, Lin H, and Chen HB participated in writing, editing, and linguistic embellishment of the manuscript. All authors have read and approved the final manuscript.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Hong-Bin Chen, PhD, Chief Physician, Department of Gastroenterology, Sanming First Hospital Affiliated to Fujian Medical University, No. 29 Liedong Street, Sanyuan District, Sanming 365000, Fujian Province, China. smchb2008@qq.com
Received: July 24, 2024
Revised: October 12, 2024
Accepted: October 23, 2024
Published online: November 16, 2024
Processing time: 97 Days and 19 Hours
Abstract

With the continuous advancement in medical technology, endoscopy has gained significant attention as a crucial diagnostic tool. The introduction of motorized spiral enteroscopy (MSE) represents a significant advancement in the diagnosis and treatment of small bowel diseases. While there are safety concerns and a high reliance on the operator’s skills, MSE should not be disregarded entirely. Instead, it should be considered as a supplementary endoscopic technique, particularly in situations where conventional endoscopy proves ineffective. Through continuous research and technical optimization, MSE has the potential to become an important addition to the endoscopy toolbox in the future. We call on colleagues in the industry to work together to promote the improvement of MSE technology through continuous research and practice, with the aim to bring out its unique value in endoscopy while ensuring patient safety.

Keywords: Motorized spiral enteroscopy; Spiral enteroscopy; Device-assisted enteroscopy; Endoscopy; Small bowel diseases

Core Tip: As a major innovation in the diagnosis and management of small bowel diseases, motorized spiral enteroscopy (MSE) demonstrates significant advantages in terms of efficiency and unique operating principles. Despite technical challenges and safety considerations, MSE has been able to improve diagnostic rates, shorten examination times, and expand the range of indications. By strengthening operator training and interdisciplinary integration, MSE is expected to become an important supplement to the endoscopy toolbox in the future, especially in situations where traditional endoscopic methods are limited, ensuring its unique value in the diagnosis and management of small intestinal diseases is fully utilized.