Capsule Endoscopy Structured Terminology (CEST): Proposal of a Standardized and Structured Terminology for Reporting Capsule Endoscopy Procedures

Abstract

This Capsule Endoscopy Structured Terminology (CEST) is a copy− righted work, protected by United States and worldwide copy− right laws and treaties. Users of the CEST are hereby granted a free license to use, copy or distribute the CEST in connection with supporting a structured terminology for capsule endoscopy, subject to the following conditions: 1. This copyright and terms of use notice must be displayed on each and every copy of the CEST, on all manuals and other mate− rials used in connection with the CEST, including without limita− tion electronic media (i. e., disks, CD−ROMs, etc.), and in all text files loaded onto electronic media or the Internet. Such copyright and terms of use notice shall not be removed, obscured, modified or otherwise hidden. All references to the CEST, in whole or in part, shall properly cite the CEST as the source for such reference. Proper citation shall read "Capsule Endoscopy Structured Termi− nology (CEST), Endoscopy 2005; 37: 951 ± 959 (February 16, 2002 Given Imaging Ltd.)". 2. The CEST shall not be used, in whole or in part, to harm or de− grade the reputation of Given Imaging or any participant in the Given Capsule Standard Working Group (the "GCSWG"). 3. Neither Given Imaging nor any participant in the GCSWG shall be liable for any errors or omissions contained in the CEST, or for any use you or any third party may make of the CEST. Given Ima− ging reserves the right to make changes to the CEST without no− tice. The information contained in the CEST is provided on an "as is" basis without any warranties, express or implied, including but not limited to the results or effects obtained through use of information, or that it is fit for any use intended or can be used without infringing the copyright or other proprietary rights of any third party. All express and implied warranties, including those relating to title, non−infringement, merchantability or fit− ness for a particular purpose, are hereby expressly disclaimed and excluded with respect to any information provided hereun− der.

Utilidad de la cápsula endoscópica como método diagnóstico en el estudio de patología de intestino delgado

“…Las contraindicaciones del examen están constituidas por todas aquellas circunstancias que impidan el libre tránsito de la CE por el tubo digestivo (estenosis, obstrucción intestinal, etc) 2 . Su seguridad en el embarazo aún no ha sido establecida Los hallazgos fueron definidos según la terminología endoscópica estandarizada [26][27][28] , y se clasificaron como "positivos" (explican con claridad el cuadro clínico), "sospechosos" (podrían o no explicar el cuadro clínico) y "negativos" (normal) según lo establecido por Penazzio et al 29 …”

Capsule endoscopy in inflammatory bowel disease type unclassified and indeterminate colitis serologically negative

“…Small-bowel lesions were defined as so-called ''typical ulcerations'' corresponding to excavated lesions (erosions and ulcers) described in the CE structured terminology. 9 Mow et al 13 described ulcers as white lesions within a crater and with surrounding erythema, whereas superficial white lesions with surrounding erythema were characterized as erosions. The definitive diagnosis of UC was based on a surgical specimen with diffuse involvement starting distally and with an absence of transmural inflammation.…”

“…The digital video image streams of the examinations were downloaded into the RAPID system. The images were then visualized by 2 observers, using the CE structured terminology 9 and were described according to the following classification.…”

Capsule endoscopy in non-steroidal anti-inflammatory drugs-enteropathy and miscellaneous, rare intestinal diseases

“…The study by Maiden et al [10] was interesting, as it showed that significant lesions can occur even after a short course of NSAID treatment in healthy individuals. However, the study had several methodological limitations: (1) The interpretation of CE images was often difficult [11] and the clinical relevance of lesions detected by CE was not always established, since such lesions could be found in the absence of any treatment in healthy individuals [12] . (2) Other causes of intestinal lesions such as chronic ischemia were not excluded.…”

“…(2) Other causes of intestinal lesions such as chronic ischemia were not excluded. (3) A standardized terminology allowing a consistent description of the lesions and comparisons between different studies was lacking [11] . Moreover, DBE provides a direct access to intestinal lesions detected by CE and biopsy specimens can be obtained.…”