Capsule endoscopy: Technique and indications

被引:50
作者
Delvaux, Michel [1 ]
Gay, Gerard [1 ]
机构
[1] CHU Nancy, Hop Brabois Adultes, Dept Internal Med & Digest Pathol, F-54511 Vandoeuvre Les Nancy, France
关键词
capsule endoscopy; enteroscopy; small intestine; intestinal diseases; endoscopy; obscure digestive bleeding; double-balloon enteroscopy; Wireless capsule endoscopy; oesophagus; colon; colorectal cancer screening;
D O I
10.1016/j.bpg.2008.06.003
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Since it was introduced in 2000, capsule endoscopy has become the gold standard for endoscopic examination of the small bowel in several clinical situations such as obscure gastrointestinal bleeding, suspicion of Crohn's disease, and surveillance of polyposis syndromes. In this technique a miniaturised endoscope, embedded in a swallowable capsule, is propelled through the gut by peristalsis and reaches the right colon in 5-8 h. Images captured by the capsule are recorded on a hard drive in a belt worn by the patient. In addition to the extensive literature currently available on small bowel CE, new capsule devices are currently under evaluation for the examination of the colon with the purpose of screening for colorectal cancer and of the oesophagus for screening for oesophageal varices and Barrett's oesophagus. These latter indications currently remain under evaluation. This review considers the technical aspects of capsule endoscopy and discusses the indications. Issues of safety and tolerance are also discussed.
引用
收藏
页码:813 / 837
页数:25
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