Current role of capsule endoscopy in Crohn’s disease

Luján-Sanchis, Marisol; Sanchis-Artero, Laura; Larrey-Ruiz, Laura; Peño-Muñoz, Laura; Núñez-Martínez, Paola; Castillo-López, Génesis; González-González, Lara; Clemente, Carlos Boix; Antequera, Cecilia Albert; Durá-Ayet, Ana; Sempere-Garcia-Argüelles, Javier

doi:10.4253/wjge.v8.i17.572

Cited by 15 publications

(8 citation statements)

References 122 publications

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“…The common application of WCE for identifying small bowel bleeding follows evidence that it is a superior diagnostic test to push enteroscopy and barium contrast studies[19]. It is a reliable test for Crohn’s disease, with a diagnostic yield as high as 71% and a high safety profile provided the risk of capsule retention is lowered by sufficient imaging or patency studies[20,21]. Improvements in diagnostic yield continue to be developed by widening field of view and increasing the number of recorded images, including the development of adaptive frame rates[22,23].…”

Section: Capsule Endoscopymentioning

confidence: 99%

Miniature gastrointestinal endoscopy: Now and the future

McGoran¹,

McAlindon²,

Iyer³

et al. 2019

WJG

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Since its original application, gastrointestinal (GI) endoscopy has undergone many innovative transformations aimed at expanding the scope, safety, accuracy, acceptability and cost-effectiveness of this area of clinical practice. One method of achieving this has been to reduce the caliber of endoscopic devices. We propose the collective term “Miniature GI Endoscopy”. In this Opinion Review, the innovations in this field are explored and discussed. The progress and clinical use of the three main areas of miniature GI endoscopy (ultrathin endoscopy, wireless endoscopy and scanning fiber endoscopy) are described. The opportunities presented by these technologies are set out in a clinical context, as are their current limitations. Many of the positive aspects of miniature endoscopy are clear, in that smaller devices provide access to potentially all of the alimentary canal, while conferring high patient acceptability. This must be balanced with the costs of new technologies and recognition of device specific challenges. Perspectives on future application are also considered and the efforts being made to bring new innovations to a clinical platform are outlined. Current devices demonstrate that miniature GI endoscopy has a valuable place in investigation of symptoms, therapeutic intervention and screening. Newer technologies give promise that the potential for enhancing the investigation and management of GI complaints is significant.

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Section: Capsule Endoscopymentioning

confidence: 99%

Miniature gastrointestinal endoscopy: Now and the future

McGoran¹,

McAlindon²,

Iyer³

et al. 2019

WJG

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“…In the emerging era of ‘personalised medicine’, particularly in the context of patients with CD, SBCE is increasingly recognised as a potentially useful instrument for the assessment of mucosal healing and response to medical therapy 18. The use of the latest generation colon capsule (PillCam Colon 2, Medtronic, Ireland), with its dual-headed cameras and enhanced variable frame rate (up to 35 fps), is also being studied for potential pan-GI assessment in patients with CD 19…”

Section: Emerging Indicationsmentioning

confidence: 99%

Small bowel endoluminal imaging (capsule and enteroscopy)

Murino

Despott

2017

Frontline Gastroenterol

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Over the last 16 years, the disruptive technologies of small bowel capsule endoscopy and device-assisted enteroscopy have revolutionised endoluminal imaging and minimally invasive therapy of the small bowel. Further technological developments continue to expand their indications and use. This brief review highlights the state-of-the-art in this arena and aims to summarise the current and potential future role of these technologies in clinical practice.

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“…SBCE is principally a noninvasive instrument for the assessment of the SB mucosa that supports diagnosis and monitoring of disease activity. SBCE provides excellent mucosal views, while maintaining a high tolerability and safety profile in carefully selected patients [ 17 , 18 ]. DAE compliments SBCE by facilitating tissue biopsy and endotherapy, mainly endoscopic balloon dilation (EBD) of selected strictures [ 19 - 21 ].…”

Section: Introductionmentioning

confidence: 99%

The role of small-bowel endoscopy in inflammatory bowel disease: an updated review on the state-of-the-art in 2021

Skamnelos

Lazaridis²,

Vlachou³

et al. 2021

aog

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The impact of small-bowel (SB) capsule endoscopy and device-assisted enteroscopy on clinical practice, since their introduction 2 decades ago, has been remarkable. These disruptive technologies have transformed the investigation and management of SB pathology and now have a firmly established place in guidelines and clinical algorithms. Furthermore, recent years have witnessed innovations, driven by the demand of new goals in the management of inflammatory bowel disease (IBD), such as mucosal healing and evolving strategies based on tight monitoring and accelerated escalation of care. These developments in SB endoscopy have also been paralleled by refinement in dedicated radiological SB imaging technologies. This updated review highlights the current state of the art and more recent innovations with a focus on their role in IBD.

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Current role of capsule endoscopy in Crohn’s disease

Cited by 15 publications

References 122 publications

Miniature gastrointestinal endoscopy: Now and the future

Miniature gastrointestinal endoscopy: Now and the future

Small bowel endoluminal imaging (capsule and enteroscopy)

The role of small-bowel endoscopy in inflammatory bowel disease: an updated review on the state-of-the-art in 2021

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