Resumen
Device-assisted enteroscopy is the only diagnostic and therapeutic exam capable of exploring the entire gastrointestinal tract. However, the diagnostic yield of this procedure is not sufficient enough to assure a cost-effective panendoscopy, and there is significant interobserver variability during the exam. Artificial intelligence tools have been proved to be beneficial in several areas of medicine, namely in Gastroenterology, with a strong image component. However, the development of deep learning models for application in device-assisted enteroscopy is still in an embryonic phase. The authors herein aimed to develop a multidevice convolutional neural network based on 338 exams performed in two renowned centers. The present model was able to accurately identify multiple clinically relevant lesions across the entire gastrointestinal tract, with an image processing time that favors its clinical applicability. The first worldwide panendoscopic model showed the potential of artificial intelligence in augmenting the accuracy and cost-effectiveness of device-assisted enteroscopy.