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Influence of Small Bowel Capsule Endoscopy on Clinical Outcome

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Video Capsule Endoscopy

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Abstract

Video capsule endoscopy (VCE) has become the first choice in the evaluation of suspected small bowel bleeding [1–4]. The positive impact of VCE on clinical outcomes in patients with obscure gastrointestinal bleeding (OGIB) has been demonstrated in several studies [5–7]. VCE showed a better diagnostic yield in detecting mucosal lesions in patients with OGIB when compared with radiologic investigations such as small bowel follow-through (SBFT), small bowel enteroclysis (SBE), or cross-sectional imaging such as CT scans or MRI [2, 4, 8–10]. Device-assisted enteroscopy (DAE), which comprises single-balloon, double-balloon, and spiral enteroscopy, also enables inspection of the whole small bowel mucosa and permits the performance of therapeutic interventions [1]. DAE is time-consuming, however; so VCE and DAE should be considered complementary procedures. The effect of VCE on diagnosis and outcome in patients with established Crohn’s disease (CD) and clinically suspected CD has been also demonstrated in several studies [11–15]. Recent studies have also shown that VCE is useful for screening and surveillance of patients with polyposis syndromes [16, 17]. Furthermore, the usefulness of VCE for patients with celiac disease or for patients with symptoms such as chronic diarrhea and chronic abdominal pain (when accompanied by inflammatory markers), and for less frequent small bowel diseases, has been increasingly demonstrated in recent publications [18–22].

The work was first published in 2006 by Springer Medizin Verlag Heidelberg with the following title: Atlas of Video Capsule Endoscopy.

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Authors and Affiliations

  1. Department of Internal Medicine, Gastroenterology, and Infectious Diseases, Marien Hospital, Bottrop, Germany

    Lucia C. Fry

  2. 1st Medical Department, Asklepios Klinik Altona, Hamburg, Germany

    Friedrich Hagenmüller

  3. Medical Clinic I, University Hospital Frankfurt, Frankfurt, Germany

    Jörg G. Albert

  4. Division of Gastroenterology, Mayo Clinic Arizona, Scottsdale, AZ, USA

    David E. Fleischer

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  1. Lucia C. Fry
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  2. Friedrich Hagenmüller
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  4. David E. Fleischer
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Correspondence to Lucia C. Fry .

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Editors and Affiliations

  1. Department of Internal Medicine, Bethesda Krankenhaus Bergedorf, Academic Teaching Hospital of the University of Hamburg, Hamburg, Germany

    Martin Keuchel

  2. 1st Medical Department, Asklepios Klinik Altona, Academic Teaching Hospital of the University of Hamburg, Hamburg, Germany

    Friedrich Hagenmüller

  3. Dept. Internal Medicine, Division of Gastroenterology and Hepatology, The Jikei University School of Medicine, Tokyo, Japan

    Hisao Tajiri

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Fry, L.C., Hagenmüller, F., Albert, J.G., Fleischer, D.E. (2014). Influence of Small Bowel Capsule Endoscopy on Clinical Outcome. In: Keuchel, M., Hagenmüller, F., Tajiri, H. (eds) Video Capsule Endoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44062-9_41

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