TITLE

The evolution of endoscopy: wireless capsule cameras for the diagnosis of occult gastrointestinal bleeding and inflammatory bowel disease

AUTHOR(S)
Davis, Brian R.; Harris, Hobart; Vitale, Gary C.
PUB. DATE
June 2005
SOURCE
Surgical Innovation;Jun2005, Vol. 12 Issue 2, p129
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
Occult gastrointestinal bleeding and lesions associated with inflammatory bowel disease represent a diagnostic dilemma because they often lie in areas of the small bowel that are difficult to access with flexible fiberoptic endoscopy. Capsule endoscopy has been developed to access these areas in a way that avoids the pain and anesthesia risks of push endoscopy. The diagnostic yield of capsule endoscopy has proven to be superior to both flexible small-bowel endoscopy and radiologic studies in several prospective trials. Capsule endoscopy transmits a large number of images that do not correlate well with the standard endoscopic view, creating a diagnostic challenge for the endoscopist. Complications of this procedure include capsule retention in diverticulae or at stricture sites. The technology of this procedure continues to evolve through improving image resolution and diagnostic accuracy. Capsule endoscopy also represents an overall economic saving despite a high unit price compared with the expense of repeat diagnostic testing. Because the diagnostic yield of capsule endoscopy is nearly twofold greater than conventional endoscopy, it has become the procedure of choice for the dilemma of assessing small-bowel pathology for many clinicians. Further studies are needed to determine whether the capsule endoscope can replace conventional endoscopy in the first-line diagnosis of pathology in other parts of the alimentary tract.
ACCESSION #
17754023

 

Related Articles

  • CITATIONS AND CLINICIANS' NOTES: GUT.  // Current Medical Literature: Gastroenterology;2005, Vol. 24 Issue 3, p59 

    Comments on several research concerning gut. "Nod2-Dependent Regulation of Innate and Adaptive Immunity in the Intestinal Tract," by K.S. Kobayashi and colleagues; "Origin of Gas Retention and Symptoms in Patients with Bloating," by B. Salvioli and colleagues; "Is Endoscopy Necessary for...

  • CT enterography of Crohn's disease. Hara, Amy K.; Swartz, Paul G. // Abdominal Imaging;May/Jun2009, Vol. 34 Issue 3, p289 

    CT enterography (CTE) is a technique using neutral oral contrast, intravenous contrast and thin cut, multiplanar CT acquisitions to optimize small bowel imaging. One of the primary indications for CTE is the detection and evaluation of Crohn's disease. This article summarizes the...

  • But how many misunderstood Crohn's disease are revealed "by chance" using Capsule Endoscopy in Chronic Recurrent OGIB? Experience of a Single Italian Center and long term follow-up. URGESI, R.; CIANCI, R.; MARMO, C.; COSTAMAGNA, G.; RICCIONI, M. E. // European Review for Medical & Pharmacological Sciences;Dec2015, Vol. 19 Issue 23, p4553 

    OBJECTIVE: The role of capsule endoscopy (CE) in Crohn's disease (CD) has expanded with greater understanding of the technology. The ability of CE to differentiate CD from other causes of inflammation has been questioned. Longitudinal studies are required to assess the long-term impact and...

  • Small-bowel ulcerations at wireless capsule endoscopy: go the whole way. Wartel, F.; Maunoury, V.; Bulois, P.; Papadopoulos, S.; Filoche, B.; Colombel, J. F. // Gut;Aug2007, Vol. 56 Issue 8, p1132 

    A quiz concerning small-bowel ulceration which was detected through wireless capsule endoscopy is presented.

  • Cytokine Network in Inflammatory Bowel Disease. I.J. Fuss // Current Drug Targets - Inflammation & Allergy;Jun2003, Vol. 2 Issue 2, p101 

    Disease states, such as those characterized by inflammation of the gastrointestinal tract (Crohn's disease and ulcerative colitis), are due to a host of factors that act in concert to produce pathologic change. The immunologic factors that mediate the development of such mucosal inflammation...

  • The Yearly Prevalence of Findings in Endoscopy of the Lower Part of the Gastrointestinal Tract. Loffeld, R. J. L. F.; Liberov, B.; Dekkers, P. E. P. // ISRN Gastroenterology;2012, p1 

    Introduction. Endoscopy of the colon and rectum is increasingly used. Aim of the Study. All consecutive endoscopies of the colon and rectum were studied in order to assess the yearly prevalence of significant endoscopic diagnoses. Methods. All consecutive endoscopies of the colon and rectum were...

  • Colon capsule endoscopy versus standard colonoscopy in assessing disease activity of ulcerative colitis: a prospective trial. Meister, T.; Heinzow, H. S.; Domagk, D.; Dortgolz, A.; Lenze, F.; Ross, M.; Domschke, W.; L├╝gering, A. // Techniques in Coloproctology;Dec2013, Vol. 17 Issue 6, p641 

    Background: The aim of our study was to compare colon capsule endoscopy (CCE) with standard colonoscopy (SC) in the assessment of mucosal disease activity and localization of inflammatory colonic mucosa in patients with known ulcerative colitis (UC). Methods: Thirteen symptomatic patients (8...

  • Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry. Yun Jeong Lim; Oh Young Lee; Yoon Tae Jeen; Chi Yeon Lim; Dae Young Cheung; Jae Hee Cheon; Byong Duk Ye; Hyun Joo Song; Jin Su Kim; Jae Hyuk Do; Kwang Jae Lee; Ki-Nam Shim; Dong Kyung Chang; Cheol Hee Park; Byung Ik Jang; Jeong Seop Moon; Hoon Jai Chun; Myung-Gyu Choi; Jin Oh Kim // Clinical Endoscopy;Sep2015, Vol. 48 Issue 5, p399 

    Background/Aims: Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based...

  • EDITORIAL. Ally, Reid // South African Gastroenterology Review;Nov2011, Vol. 9 Issue 3, p1 

    An introduction is presented in which the editor discusses various reports within the issue on topics including alcoholic hepatitis, chronic inflammatory diseases, and the role of microbiota in health.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics