Capsule endoscopy performed across the pediatric age range: indications, incomplete studies, and utility in management of inflammatory bowel disease

The Range of Lesions in the Small Intestine of Children with Celiac Disease Determined by Capsule Endoscopy

“…The endoscopic capsule was registered in January 2004 as a small intestinal diagnostic method suitable for children over 10 years old; in the literature; however, there are reports of capsule endoscopy examinations being performed on patients as young as 2-3 years old, and even on infants [7,8]. The indications for performing capsule endoscopy in children are diverse, and are similar to those for adult patients.…”

“…The indications for performing capsule endoscopy in children are diverse, and are similar to those for adult patients. They include overt and latent bleeding from the gastrointestinal tract, including bleeding from vascular malformations in the course of Schőnlein-Henoch disease, and from Meckel's diverticulum; inflammatory diseases of the small intestine, including Crohn's disease, celiac disease, protein-losing enteropathy, polyps and polyposis syndromes, including Peutz-Jeghers syndrome and familial adenomatous polyposis; and small intestine damage associated with chemotherapy, radiotherapy and graft vs. host disease [8]. The group of pediatric patients who are the most frequently diagnosed using the endoscopic capsule are Crohn's disease patients, in whom the examination is performed in order to diagnose the disease, and to monitor its severity and the efficacy of treatment.…”

Small Bowel Capsule Endoscopy Impacts Diagnosis and Management of Pediatric Inflammatory Bowel Disease: A Prospective Study

“…The ability to accurately classify pediatric inflammatory bowel disease (IBD) patients [e.g., Crohn's disease (CD), ulcerative colitis (UC), and ''indeterminate'' colitis (IC)] and determine the presence and/or extent of small bowel involvement may improve medical decision-making and patient outcomes [1][2][3][4][5][6][7][8][9]. Published studies, including two meta-analyses, demonstrate that capsule endoscopy (CE) is superior to standard endoscopic and radiographic modalities in diagnosing small bowel CD, can be used as a firstline imaging modality for suspected CD in adults, and may be economically advantageous [10][11][12][13].…”

Utility of capsule endoscopy in children and youth – own experience

“…Zgodnie z danymi z piśmiennictwa jest to najczęstsze wskazanie do badania u pacjentów pediatrycznych [6,12] Tabela I. Charakterystyka pacjentów poddanych badaniu przewodu pokarmowego metodą endoskopii kapsułkowej Table I. Summary of studies on capsule endoscopy nieniu od dorosłych, gdzie endoskopię kapsułkową wykonuje się głównie w celu poszukiwania jawnego lub utajonego źródła krwawienia o nieustalonej etiologii [5].…”