Current Progress of Endoscopy in Inflammatory Bowel Disease: Capsule Endoscopy

  • Naoki HosoeEmail author


More than a decade has passed since small-bowel capsule endoscopy (CE) was developed. One of the indication for small-bowel CE is suspected/diagnosed Crohn’s disease (CD). Patients who are suspected CD with negative ileocolonoscopy are good candidate for small-bowel CE. In patients with suspected CD, the risk of small-bowel capsule retention is comparable to that when the small-bowel CE is applied for obscure gastrointestinal bleeding. On the other hand, in patients with an established diagnosis of CD, the risk of small-bowel capsule retention is increased, particularly in those with known intestinal stenosis. In the presence of obstructive symptoms or known stenosis, small-bowel cross-sectional imaging or patency capsule, which is a self-dissolving dummy capsule, should generally precede small-bowel CE. Colon CE (CCE) was first reported in 2006. CCE may be appropriate for inflammatory bowel disease; however, the efficacy of CCE on IBD has not been still unconfirmed. A possible application for CCE for IBD is ulcerative colitis.


Video capsule endoscopy Ulcerative colitis Crohn’s disease Patency capsule 



Naoki Hosoe received a research grant from Covidien Co. Ltd.


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Copyright information

© Springer Japan 2018

Authors and Affiliations

  1. 1.Center for Diagnostic and Therapeutic EndoscopySchool of Medicine, Keio UniversityTokyoJapan

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