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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
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Endoscopic Procedures II: Colonoscopy01:25

Endoscopic Procedures II: Colonoscopy

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

118
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
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Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

147
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
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Colon Ascendens Stent Peritonitis CASP - a Standardized Model for Polymicrobial Abdominal Sepsis
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PD peritonitis in patients undergoing capsule endoscopy: A descriptive study.

Mina Khair1,2, Dharmenaan Palamuthusingam1,2,3, Carmel M Hawley2,4,5

  • 1Metro North Kidney Health Service, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.

Peritoneal Dialysis International : Journal of the International Society for Peritoneal Dialysis
|January 30, 2024
PubMed
Summary

Capsule endoscopy (CE) appears safe for peritoneal dialysis (PD) patients, with no peritonitis observed when performed alone. This suggests PD patients may not need antibiotic prophylaxis before CE.

Keywords:
Capsule endoscopyPD peritonitisperitoneal dialysis-associated peritonitis

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Area of Science:

  • Nephrology
  • Gastroenterology
  • Medical Device Technology

Background:

  • Peritoneal dialysis (PD) patients face increased peritonitis risk after procedures like colonoscopy.
  • Current guidelines recommend antibiotic prophylaxis before colonoscopy for PD patients.
  • The peritonitis risk associated with capsule endoscopy (CE) in PD patients is currently unknown.

Purpose of the Study:

  • To assess the risk of peritoneal dialysis-associated peritonitis (PD peritonitis) in PD patients undergoing capsule endoscopy (CE).

Main Methods:

  • A binational data-linkage study analyzed PD patients who underwent CE between 2006 and 2015 in Australia and New Zealand.
  • Descriptive statistics were used to evaluate patient characteristics and clinical outcomes.
  • The study specifically examined peritonitis incidence within 7 days of CE procedures.

Main Results:

  • Overall, 23 PD patients underwent CE.
  • Twelve patients who underwent CE alone experienced no PD peritonitis.
  • Two of 11 patients who underwent CE with other invasive procedures developed PD peritonitis.

Conclusions:

  • Capsule endoscopy (CE) is likely a relatively safe procedure for peritoneal dialysis (PD) patients.
  • PD patients undergoing CE alone may not require pre-procedure antibiotic prophylaxis.
  • CE may serve as a valuable diagnostic tool for gastrointestinal issues in select PD patients.