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Capsule endoscopy in inflammatory bowel disease: when and how.
1Department of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Intestinal Research
|July 7, 2020
Summary
Capsule endoscopy (CE) is a valuable tool for inflammatory bowel disease (IBD) and Crohn
Area of Science:
- Gastroenterology and Endoscopy
- Inflammatory Bowel Disease Research
Background:
- Capsule endoscopy (CE) is increasingly utilized for diagnosing and monitoring inflammatory bowel disease (IBD).
- Standard small bowel CE, colon CE, and pan-enteric CE are available, with pan-enteric CE assessing both small and large bowels.
Purpose of the Study:
- To review the emerging indications and applications of capsule endoscopy in inflammatory bowel disease.
- To discuss the development of CE scoring systems and safety considerations for IBD patients.
Main Methods:
- Review of current literature on capsule endoscopy in inflammatory bowel disease.
- Discussion of safety protocols, including patency capsules and cross-sectional imaging, to mitigate risks like capsule retention.
Main Results:
- Capsule endoscopy offers noninvasive assessment for mucosal healing and postoperative recurrence in Crohn's disease.
- Several CE scoring systems have been developed to standardize IBD evaluations.
- Automated software for abnormality detection may enhance CE adoption in IBD.
Conclusions:
- Capsule endoscopy is a significant advancement in IBD investigation, offering new diagnostic and monitoring capabilities.
- Addressing concerns like capsule retention through safety measures is crucial for widespread adoption.
- Future developments in automated analysis promise to further integrate CE into IBD management.
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