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Pediatric Inflammatory Bowel Disease pp 287–297Cite as

Video Capsule Endoscopy in Inflammatory Bowel Disease

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Abstract

Video capsule endoscopy provides a noninvasive method for the complete endoscopic evaluation of the small bowel mucosa. Its performance has been shown to outperform other imaging modalities for the detection of mucosal lesions. Indications for a video capsule in inflammatory bowel disease (IBD) include the diagnosis of suspected (obscure) small bowel Crohn disease (CD), determination of the extent and severity of small bowel involvement in established Crohn disease, evaluation of unexplained symptoms in established IBD, evaluation of the presence of small bowel lesions in patients with colonic IBD (ulcerative or indeterminate colitis, IBD-U), evaluation of mucosal healing of small bowel Crohn disease after treatment, assessment of possible postoperative recurrence of small bowel Crohn, incomplete colonoscopy, and the assessment of pouchitis. Video capsule in patients with suspected or established Crohn disease is safe, and the results often have a significant clinical impact. However, the foremost contraindication to capsule use is the presence of a known or suspected intestinal obstruction and/or strictures because of the risk of capsule retention. The advent of patency capsules can reduce the risk as a video capsule performed after a positive patency capsule test in patients with Crohn disease is associated with a high risk of video capsule retention. Other practical issues discussed are the use of bowel cleansing preps and prokinetic agents as well as size and age limitations of video capsule use in children.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology, McGill Faculty of Medicine, McGill University Health Center, MGH Campus, C10.145, 1650 Cedar Avenue, Montreal, QC, Canada, H3G 1A4

    Ernest G. Seidman MD, FRCPC, FACG

  2. Advanced Clinical Fellow in IBD, Division of Gastroenterology, Faculty of Medicine, McGill University, Montreal, QC, Canada

    Che Yung Chao MBchB, FRACP

  3. Pediatric Capsule Endoscopy Lab, GI Division, Montreal Children’s Hospital, McGill Faculty of Medicine, Montreal, QC, Canada

    Ana Maria Sant’Anna MD

Authors
  1. Ernest G. Seidman MD, FRCPC, FACG
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  2. Che Yung Chao MBchB, FRACP
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  3. Ana Maria Sant’Anna MD
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Corresponding author

Correspondence to Ernest G. Seidman MD, FRCPC, FACG .

Editor information

Editors and Affiliations

  1. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Petar Mamula

  2. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Andrew B. Grossman

  3. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Robert N. Baldassano

  4. Division of GI, Hepatology & Nutrition, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA

    Judith R. Kelsen

  5. Division of Pediatric Gastroenterology & Nutrition, University of South Carolina School of Medicine - Greenville, Greenville, South Carolina, USA

    Jonathan E. Markowitz

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© 2017 Springer International Publishing AG

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Seidman, E.G., Chao, C.Y., Sant’Anna, A.M. (2017). Video Capsule Endoscopy in Inflammatory Bowel Disease. In: Mamula, P., Grossman, A., Baldassano, R., Kelsen, J., Markowitz, J. (eds) Pediatric Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-49215-5_23

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  • DOI: https://doi.org/10.1007/978-3-319-49215-5_23

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