W1187 Use of PillCam ESO in Determining the Prevalence of Esophageal Disease in Patients Presenting to the Emergency Department With Chest Pain and Without Acute Coronary Syndrome

Singh, Anupam; Lee, Calvin; Finkelberg, Dmitry; Foley, Anne; Volturo, Gregory A.; Gore, Joel M.; Hibberd, Patricia L.; Cave, David R.

doi:10.1016/s0016-5085(10)63081-8

Cited by 1 publication

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“…In this setting, an estimated 10% of patients have true acute coronary syndrome (ACS). (Singh et al, 2010). A pilot study of patients who presented to the ED with acute chest pain demonstrated that 40% possessed some form of an esophageal disorder, confirmed with earlier endoscopic data.…”

Section: Gastroesophageal Reflux Disease and Noncardiac Chest Painsupporting

confidence: 69%

Endoscopic capsule robot-based diagnosis, navigation and localization in the gastrointestinal tract

Hanscom

Cave

2022

Front. Robot. AI

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The proliferation of video capsule endoscopy (VCE) would not have been possible without continued technological improvements in imaging and locomotion. Advancements in imaging include both software and hardware improvements but perhaps the greatest software advancement in imaging comes in the form of artificial intelligence (AI). Current research into AI in VCE includes the diagnosis of tumors, gastrointestinal bleeding, Crohn’s disease, and celiac disease. Other advancements have focused on the improvement of both camera technologies and alternative forms of imaging. Comparatively, advancements in locomotion have just started to approach clinical use and include onboard controlled locomotion, which involves miniaturizing a motor to incorporate into the video capsule, and externally controlled locomotion, which involves using an outside power source to maneuver the capsule itself. Advancements in locomotion hold promise to remove one of the major disadvantages of VCE, namely, its inability to obtain targeted diagnoses. Active capsule control could in turn unlock additional diagnostic and therapeutic potential, such as the ability to obtain targeted tissue biopsies or drug delivery. With both advancements in imaging and locomotion has come a corresponding need to be better able to process generated images and localize the capsule’s position within the gastrointestinal tract. Technological advancements in computation performance have led to improvements in image compression and transfer, as well as advancements in sensor detection and alternative methods of capsule localization. Together, these advancements have led to the expansion of VCE across a number of indications, including the evaluation of esophageal and colon pathologies including esophagitis, esophageal varices, Crohn’s disease, and polyps after incomplete colonoscopy. Current research has also suggested a role for VCE in acute gastrointestinal bleeding throughout the gastrointestinal tract, as well as in urgent settings such as the emergency department, and in resource-constrained settings, such as during the COVID-19 pandemic. VCE has solidified its role in the evaluation of small bowel bleeding and earned an important place in the practicing gastroenterologist’s armamentarium. In the next few decades, further improvements in imaging and locomotion promise to open up even more clinical roles for the video capsule as a tool for non-invasive diagnosis of lumenal gastrointestinal pathologies.

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Section: Gastroesophageal Reflux Disease and Noncardiac Chest Painsupporting

confidence: 69%

Endoscopic capsule robot-based diagnosis, navigation and localization in the gastrointestinal tract

Hanscom

Cave

2022

Front. Robot. AI

Self Cite

View full text Add to dashboard Cite

show abstract

W1187 Use of PillCam ESO in Determining the Prevalence of Esophageal Disease in Patients Presenting to the Emergency Department With Chest Pain and Without Acute Coronary Syndrome

Cited by 1 publication

References 0 publications

Endoscopic capsule robot-based diagnosis, navigation and localization in the gastrointestinal tract

Endoscopic capsule robot-based diagnosis, navigation and localization in the gastrointestinal tract

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