Gastroenterology Book


Wireless Capsule Endoscopy

Aka: Wireless Capsule Endoscopy, Capsule Endoscopy
  1. Indications
    1. Obscure Gastrointestinal Bleeding
      1. Presumed Small Intestinal Bleeding
      2. Blood loss Anemia and normal standard endoscopy
    2. Non-bleeding indications
      1. Suspected Crohn's Disease
      2. Suspected Small Bowel tumor
      3. Abnormal imaging study of the Small Bowel
      4. Refractory Celiac Sprue
      5. Familial Adenomatous Polyposis Syndrome
  2. Contraindications
    1. Swallowing Disorders
    2. Pacemaker or other implantable electromedical device
    3. Small Bowel Obstruction, strictures or fistulas
    4. Pregnancy
  3. Technique
    1. Preparation
      1. Fast for 10 hours and no purging or
      2. Two liter PEG given 6 hours before capsule or
      3. Single dose of Simethicone before procedure
    2. Patient swallows disposable wireless video capsule
      1. Capsule is 2.6 x 1.1 cm in size (PillCam ESO)
      2. Capsule has 6-8 hour battery life
      3. Capsule contains microchip camera and light source
    3. Patient wears recorder
      1. Camera transmits 2 images per second to recorder
  4. Complications
    1. Stool impaction
    2. Small Bowel stricture
    3. Retention of pill camera
  5. Efficacy
    1. Overall, capsule misses 36% of lesions
      1. Appleyard (2000) Gastroenterology [PubMed]
    2. Identifies bleeding source in 55-76%
      1. Contrast with push endoscopy sensitivity: 21-38%
    3. Accurate in Crohn's Disease diagnosis
      1. Test Sensitivity: 89%
      2. Test Specificity: 100%
      3. Dubcenco (2005) GI Endoscopy [PubMed]
  6. References
    1. Costamagna (2002) Gastroenterology 123:999-1005 [PubMed]
    2. Ginsberg (2002) Gastrointest Endosc 56(5):621-4 [PubMed]

Capsule Endoscopy (C1721048)

Definition (MSH) Non-invasive, endoscopic imaging by use of VIDEO CAPSULE ENDOSCOPES to perform examination of the gastrointestinal tract, especially the small bowel.
Concepts Diagnostic Procedure (T060)
MSH D053704
SnomedCT 427595003
English Capsule Endoscopies, Video, Capsule Endoscopies, Wireless, Capsule Endoscopies, Capsule Endoscopy, Video, Capsule Endoscopy, Wireless, Capsule Endoscopy, Endoscopies, Capsule, Endoscopies, Video Capsule, Endoscopies, Wireless Capsule, Endoscopy, Capsule, Endoscopy, Video Capsule, Endoscopy, Wireless Capsule, Video Capsule Endoscopies, Video Capsule Endoscopy, Wireless Capsule Endoscopies, Wireless Capsule Endoscopy, Capsule endoscopy (procedure), Capsule endoscopy, capsule endoscopy (procedure), capsule endoscopy
Portuguese Endoscopia por Cápsula, Endoscopia por cápsula, Endoscopia por Videocápsula, Endoscopia Capsular, Videoendoscopia por Cápsula
Spanish Endoscopia Capsular, endoscopia capsular, endoscopia capsular (procedimiento), Endoscopia capsular
Italian Endoscopia con capsula, Endoscopia con capsula senza fili, Endoscopia con video-capsula, Endoscopia capsulare
German Drahtlose Kapselendoskopie, Video-Kapselendoskopie, Kapselendoskopie
French Endoscopie par capsule, Technique de la capsule-caméra, Endoscopie par vidéocapsules, Vidéo-endoscopie par capsule, Endoscopie par vidéogélules, Endoscopie par capsule-caméra, Endoscopie de la capsule
Swedish Kapselendoskopi
Czech kapslová videoendoskopie, bezdrátová kapslová endoskopie, kapslová endoskopie, Kapslová endoskopie
Finnish Kapselitähystys
Polish Endoskopia kapsułkowa, Endoskopia wideokapsułkowa
Japanese カプセル型内視鏡法, カプセル内視鏡法, 内視鏡検査-カプセル, カプセル内視鏡検査, 内視鏡法-カプセル型, カプセルナイシキョウケンサ
Dutch capsule-endoscopie
Hungarian Tok endoscopia
Norwegian Trådløs kapselendoskopi, Kapselendoskopi, Video-kapselendoskopi
Derived from the NIH UMLS (Unified Medical Language System)

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