WEO Video: Dr. Paul Ackerman
Dr. Paul Ackerman from Rhode Island, USA, demonstrates the technique of Spirus small bowel enteroscopy during the recent live course in India
The technique of Spirus small bowel enteroscopy is demonstrated by its inventor, Dr. Paul Ackerman from Rhode Island, USA. The Spirus overtube is demonstrated showing the spiral ledges which grip the small intestine and pleat the intestine on the device as the overtube is inserted in a rotatory fashion. The patient has hereditary hemorrhagic telangiectasia and has required multiple blood transfusions. It is the intention of this procedure to look deep into the small bowel and use electrothermal energy to treat the multiple bleeding sites. Dr. Douglas Howell from Maine, USA is assisting during this procedure. Once deep in the small bowel, Dr. Ackerman can treat the bleeding arteriovenous malformations in an attempt to ablate them. The overtube not only holds the position of the enteroscope in the small bowel, but it also maintains straightness of the small intestine. The overtube maintains its position in the small intestine while the enteroscope can be repeatedly taken out and replaced (for instance, when multiple polyps need to be removed). The telangiectasias are treated with the argon plasma coagulator during withdrawal of the instrument.
This procedure was performed at the Center of Excellence in Hyderabad, India under the direction of Dr. Nageshwar Reddy.
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