Wireless capsule in inflammatory bowel disease

Gastroentérologie Clinique Et Biologique
M FlamantA Bourreille

Abstract

Capsule endoscopy (CE) is a safe, non-invasive diagnostic tool to evaluate small bowel lesions. CE, like conventional endoscopy, can detect focal and small-ulcerated lesions along the entire length of the small bowel, which are not identified by other imaging techniques. Meta-analysis has shown that CE is better than any other radiological technique to detect small bowel lesions in patients with suspected or known Crohn's disease (CD). In unclassified colitis, CE is also useful in distinguishing CD and ulcerative colitis (UC). In established CD, CE may be used to detect post-operative recurrence, determine the extent of small bowel lesions and link ulcerated lesions with clinical symptoms. Although CE is well tolerated there is a theoretical risk of capsule impaction in general and in CD in particular. To avoid capsule impaction, a new option called the "patency capsule" is available especially in patients with symptoms suggesting small bowel obstruction. However, few data are available about this new device and its use in clinical practice needs to be clarified.

References

Mar 16, 2004·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·William S MowEric A Vasiliauskas
Mar 15, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Ana Maria Guilhon de Araujo Sant'AnnaErnest G Seidman
Sep 29, 2005·Endoscopy·A KornbluthUNKNOWN ICCE
Dec 6, 2005·Endoscopy·G PayerasR Jiménez
Jan 24, 2006·Gastrointestinal Endoscopy·Grant R CaddyPaul V Desmond

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Citations

Jan 24, 2012·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Anthony BuissonLaurent Peyrin-Biroulet
Mar 11, 2016·Inflammatory Bowel Diseases·Anna M Buchner, Gary R Lichtenstein

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