scholarly journals Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice

Diagnostics ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. 2139
Author(s):  
Fintan O’Hara ◽  
Deirdre McNamara
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Clinical Utility ◽  
Gastrointestinal Endoscopy ◽  
Quality Standards ◽  
Outpatient Setting ◽  
Non Invasive ◽  
Polyposis Syndromes ◽  
Slow Transit ◽  
Capsule Retention

The small bowel is the longest organ within the gastrointestinal tract. The emergence of small bowel capsule endoscopy (SBCE) over the last 20 years has revolutionized the investigation and diagnosis of small bowel pathology. Its utility as a non-invasive and well-tolerated procedure, which can be performed in an outpatient setting, has made it a valuable diagnostic tool. The indications for SBCE include obscure gastrointestinal bleeding, small bowel Crohn’s disease, and, less frequently for screening in polyposis syndromes, celiac disease, or other small bowel pathology. Currently, there are several small bowel capsules on the market from different manufacturers; however, they share many technological features. The European Society of Gastrointestinal Endoscopy (ESGE) only recently developed a set of key quality indicators to guide quality standards in this area. Many of the technical aspects of capsule endoscopy still feature a degree of uncertainty in terms of optimal performance. Incomplete studies due to slow transit through the bowel, poor imaging secondary to poor preparation, and the risk of capsule retention remain frustrations in its clinical utility. Capsule review is a time-consuming process; however, artificial intelligence and machine learning offer opportunities to improve this. This narrative review examines our current standing in a number of these aspects and the potential to further the application of SBCE in order to maximize its diagnostic utility.

Enhancing Video Capsule Endoscopy: Location and Bleeding Detection

2010 ◽  
Author(s):  
Douglas Yeung ◽  
Amir Sabet Sarvestani ◽  
Jonathan Yap ◽  
Yuri Inoue
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Capsule Endoscopy ◽  
Cost Reduction ◽  
Video Capsule Endoscopy ◽  
Non Invasive ◽  
Elapsed Time ◽  
Bleeding Detection ◽  
Invasive Method ◽  
Intuitive User Interface

Video capsule endoscopy (VCE) is a non-invasive method of visually examining the internal lumen of small intestine for inflammation and bleeding through a wireless camera contained in a small capsule. Currently, VCE technology is limited because it cannot map images to their specific locations in the small bowel. Furthermore, approximately 40% of identified problem areas are false positives, making bleeding difficult to find. Therefore, physicians can only estimate the location of inflammation and bleeding areas based on the elapsed time before performing a wired endoscopy. Our pill camera offers an innovative wireless imaging GPS-like location system, in an easy to swallow pill that accurately identifies and displays bleeding areas within the small intestine through an intuitive user interface, which results in a 50% reduction in clinical times, as well as improved diagnosis for potential investors and providers, thus resulting in a $500 cost reduction in physician fees per patient.

scholarly journals Performance measures for small-bowel endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative

Endoscopy ◽  
2019 ◽  
Vol 51 (06) ◽  
pp. 574-598 ◽  
Author(s):  
Cristiano Spada ◽  
Deirdre McNamara ◽  
Edward J. Despott ◽  
Samuel Adler ◽  
Brooks D. Cash ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Small Bowel ◽  
Performance Measures ◽  
Capsule Endoscopy ◽  
European Society ◽  
Gastrointestinal Endoscopy ◽  
Quality Improvement Initiative ◽  
Upper Gastrointestinal Endoscopy ◽  
Small Bowel Endoscopy ◽  
First Time

AbstractThe European Society of Gastrointestinal Endoscopy (ESGE) together with the United European Gastroenterology (UEG) recently developed a short list of performance measures for small-bowel endoscopy (i. e. small-bowel capsule endoscopy and device-assisted enteroscopy) with the final goal of providing endoscopy services across Europe with a tool for quality improvement. Six key performance measures for both small-bowel capsule endoscopy and for device-assisted enteroscopy were selected for inclusion, with the intention being that practice at both a service and endoscopist level should be evaluated against them. Other performance measures were considered to be less relevant, based on an assessment of their overall importance, scientific acceptability, and feasibility. Unlike lower and upper gastrointestinal endoscopy, where performance measures had already been identified, this is the first time that small-bowel endoscopy quality measures have been proposed.

Olmesartan Associated Enteropathy: Usefulness of Video Capsule Endoscopy in a Case With Doubtful Upper Endoscopic/Histological Picture

2020 ◽  
Vol 15 (1) ◽  
pp. 65-68 ◽  
Author(s):  
Francesco Abbruzzi ◽  
Ilaria Loconte ◽  
Sonia Carparelli ◽  
Enzo Ierardi ◽  
Alfredo Di Leo ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Villous Atrophy ◽  
Video Capsule Endoscopy ◽  
Watery Diarrhea ◽  
Mosaic Pattern ◽  
Diagnostic Features ◽  
Non Invasive ◽  
Before And After ◽  
Diagnostic Work

Background: Olmesartan, an antihypertensive drug, may be associated with a severe “sprue-like enteropathy”. Objectives: To report a case of Olmesartan enteropathy demonstrated by video capsule endoscopy distally from the second duodenum along with the whole small bowel before and after drug withdrawal. Case Presentation: A 81-years-old man was referred for asthenia, chronic watery diarrhea and anasarca (ascites, pleural effusion and edemas of superior and inferior limb). The only comorbidity was hypertension treated with Olmesartan. All causes of infective and inflammatory chronic diarrhea were investigated and excluded. Upper endoscopy was normal; histological examination of the second portion of the duodenum showed moderate and patchy infiltration of lymphocytes at mucosal and intra-epithelial level with intermittent partial villous atrophy. The possibility of adverse drug reaction, estimated by Naranjo scale, showed a score of 7, indicating a strong probability. Olmesartan was then withdrawn. However, because of severe clinical general condition, we preferred to corroborate our diagnostic work-up by a non-invasive investigation, i.e. video capsule endoscopy, which showed jejunal and ileal mucosal alterations (mosaic pattern, diffuse hyperemia, severe edema, consequent apparent reduced lumen, diffuse thickening of intestinal folds, multiple erosions, patchy lymphangectasia). After 14 days, the resolution of anasarcatic state and hydroelectrolytic imbalances was observed. Nine months later, small-bowel video-capsule demonstrated mild mucosal hyperaemia and mosaic pattern. Conclusions: Our case could give new insights in the field of Olmesartan associated enteropathy by highlighting the possibility of distally main lesion location and, therefore, the usefulness of video capsule endoscopy in the presence of doubtful diagnostic features.

scholarly journals Correction: Curriculum for small-bowel capsule endoscopy and device-assisted enteroscopy training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Endoscopy ◽  
2020 ◽  
Vol 52 (08) ◽  
pp. C9-C9
Author(s):  
Reena Sidhu ◽  
Stefania Chetcuti Zammit ◽  
Peter Baltes ◽  
Cristina Carretero ◽  
Edward J. Despott ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
European Society ◽  
Gastrointestinal Endoscopy ◽  
Position Statement

Adherence to European Society of Gastrointestinal Endoscopy recommendations of endoscopists performing small bowel capsule endoscopy in Italy

2019 ◽  
Vol 51 (6) ◽  
pp. 818-823 ◽  
Author(s):  
Emanuele Rondonotti ◽  
Cristiano Spada ◽  
Marco Pennazio ◽  
Roberto de Franchis ◽  
Sergio Cadoni ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
European Society ◽  
Gastrointestinal Endoscopy

Role of wireless capsule endoscopy in non invasive diagnosis of small bowel diseases: A paediatric experience

2006 ◽  
Vol 38 (10) ◽  
pp. A111-A112
Author(s):  
F. Torroni ◽  
A. Pane ◽  
P. De Angelis ◽  
T. Caldaro ◽  
G. Federici ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Wireless Capsule Endoscopy ◽  
Non Invasive ◽  
Bowel Diseases ◽  
Wireless Capsule ◽  
Small Bowel Diseases

Value of capsule endoscopy for the detection of small bowel polyps in patients with hereditary polyposis syndromes (FAP, PJS, FJP)

2003 ◽  
Vol 124 (4) ◽  
pp. A550 ◽  
Author(s):  
Karsten Schulmann ◽  
Stephan Hollerbach ◽  
Katja Kraus ◽  
Markus Reiser ◽  
Joerg Willert ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Polyposis Syndromes

scholarly journals Small-Bowel Capsule Endoscopy in Patients with Suspected Crohn's Disease—Diagnostic Value and Complications

2010 ◽  
Vol 2010 ◽  
pp. 1-7 ◽  
Author(s):  
Pedro Figueiredo ◽  
Nuno Almeida ◽  
Sandra Lopes ◽  
Gabriela Duque ◽  
Paulo Freire ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Capsule Endoscopy ◽  
Inflammatory Markers ◽  
Diagnostic Yield ◽  
Villous Atrophy ◽  
Tertiary Care ◽  
Endoscopic Findings ◽  
Capsule Retention

Background. The aim of this work was to assess the value of capsule enteroscopy in the diagnosis of patients with suspected Crohn's Disease (CD). Methods. This was a retrospective study in a single tertiary care centre involving patients undergoing capsule enteroscopy for suspected CD. Patients taking nonsteroidal anti inflammatory drugs during the thirty preceding days or with a follow-up period of less than six months were excluded. Results. Seventy eight patients were included. The endoscopic findings included mucosal breaks in 50%, ulcerated stenosis in 5%, and villous atrophy in 4%. The diagnosis of CD was established in 31 patients. The sensitivity, specificity, positive and negative predictive value of the endoscopic findings were 93%, 80%, 77%, and 94%, respectively. Capsule retention occurred in four patients (5%). The presence of ulcerated stenosis was significantly more frequent in patients with positive inflammatory markers. The diagnostic yield of capsule enteroscopy in patients with negative ileoscopy was 56%, with a diagnostic acuity of 93%. Conclusions. Small bowel capsule endoscopy is a safe and valid technique for assessing patients with suspected CD. Capsule retention is more frequent in patients with positive inflammatory markers. Patients with negative ileoscopy and suspected CD should be submitted to capsule enteroscopy.

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