Capsule endoscopy in inflammatory bowel disease: when and how

被引:17
作者
Hilmi, Ida [1 ]
Kobayashi, Taku [2 ]
机构
[1] Univ Malaya, Dept Med, Med Ctr, Jalan Lembah Pantai, Kuala Lumpur 59100, Malaysia
[2] Kitasato Univ, Ctr Adv IBD Res & Treatment, Kitasato Inst Hosp, Tokyo, Japan
关键词
Capsule endoscopy; Crohn disease; Colitis; ulcerative; Inflammatory bowel disease; MAGNETIC-RESONANCE ENTEROGRAPHY; PILLCAM COLON CAPSULE; CROHNS-DISEASE; ULCERATIVE-COLITIS; DIAGNOSTIC YIELD; RETENTION RATES; EPIDEMIOLOGY; MULTICENTER; COMPLETION; RECURRENCE;
D O I
10.5217/ir.2019.09165
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Capsule endoscopy (CE) is emerging as an important investigation in inflammatory bowel disease (IBD); common types include the standard small bowel CE and colon CE. More recently, the pan-enteric CE was developed to assess the large and small bowel in patients with Crohn's disease (CD). Emerging indications include noninvasive assessment for mucosal healing (both in the small bowel and the colon) and detection of postoperative recurrence in patients with CD. Given the increasing adoption, several CE scoring systems have been specifically developed for IBD. The greatest concern with performing CE, particularly in CD, is capsule retention, but this can be overcome by performing cross-sectional imaging such as magnetic resonance enterography and using patency capsules before performing the procedure. The development of software for automated detection of mucosal abnormalities typically seen in IBD may further increase its adoption.
引用
收藏
页码:265 / 274
页数:10
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