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Current Progress of Endoscopy in Inflammatory Bowel Disease: Capsule Endoscopy

  • Naoki HosoeEmail author
Chapter

Abstract

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.

Keywords

Video capsule endoscopy Ulcerative colitis Crohn’s disease Patency capsule 

Notes

Acknowledgement

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

References

  1. 1.
    Iddan G, Meron G, Glukhovsky A, et al. Wireless capsule endoscopy. Nature. 2000;405(6785):417.CrossRefPubMedGoogle Scholar
  2. 2.
    Pennazio M, Spada C, Eliakim R, Keuchel M, et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2015;47(4):352–86.CrossRefPubMedGoogle Scholar
  3. 3.
    Mehdizadeh S, Chen GC, Barkodar L, et al. Capsule endoscopy in patients with Crohn's disease: diagnostic yield and safety. Gastrointest Endosc. 2010;71(1):121–7.CrossRefPubMedGoogle Scholar
  4. 4.
    Papadakis KA, Lo SK, Fireman Z, et al. Wireless capsule endoscopy in the evaluation of patients with suspected or known Crohn’s disease. Endoscopy. 2005;37(10):1018–22.CrossRefPubMedGoogle Scholar
  5. 5.
    Van Assche G, Dignass A, Panes J, et al. The second European evidence-based consensus on the diagnosis and management of Crohn's disease: definitions and diagnosis. J Crohns Colitis. 2010;4(1):7–27.CrossRefPubMedGoogle Scholar
  6. 6.
    Jensen MD, Nathan T, Rafaelsen SR, et al. Ileoscopy reduces the need for small-bowel imaging in suspected Crohn's disease. Dan Med J. 2012;59(9):A4491.PubMedGoogle Scholar
  7. 7.
    Bourreille A, Ignjatovic A, Aabakken L, et al. Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus. Endoscopy. 2009;41(7):618–37.CrossRefPubMedGoogle Scholar
  8. 8.
    Yadav A, Heigh RI, Hara AK, et al. Performance of the patency capsule compared with nonenteroclysis radiologic examinations in patients with known or suspected intestinal strictures. Gastrointest Endosc. 2011;74(4):834–9.CrossRefPubMedGoogle Scholar
  9. 9.
    Cheifetz AS, Kornbluth AA, Legnani P, et al. The risk of retention of the capsule endoscope in patients with known or suspected Crohn's disease. Am J Gastroenterol. 2006;101(10):2218–22.CrossRefPubMedGoogle Scholar
  10. 10.
    Eliakim R, Fireman Z, Gralnek IM, et al. Evaluation of the PillCam Colon capsule in the detection of colonic pathology: results of the first multicenter, prospective, comparative study. Endoscopy. 2006;38(10):963–70.CrossRefPubMedGoogle Scholar
  11. 11.
    Van Gossum A, Munoz-Navas M, Fernandez-Urien I, et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med. 2009;361(3):264–70.CrossRefPubMedGoogle Scholar
  12. 12.
    Eliakim R, Yassin K, Niv Y, et al. Prospective multicenter performance evaluation of the second-generation colon capsule compared with colonoscopy. Endoscopy. 2009;41(12):1026–31.CrossRefPubMedGoogle Scholar
  13. 13.
    Spada C, Hassan C, Munoz-Navas M, et al. Second-generation colon capsule endoscopy compared with colonoscopy. Gastrointest Endosc. 2011;74(3):581–9.CrossRefPubMedGoogle Scholar
  14. 14.
    Spada C, Hassan C, Galmiche JP, et al. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) guideline. Endoscopy. 2012;44(5):527–36.CrossRefPubMedGoogle Scholar
  15. 15.
    Negreanu L, Babiuc R, Bengus A, et al. PillCam Colon 2 capsule in patients unable or unwilling to undergo colonoscopy. World J Gastrointest Endosc. 2013;5(11):559–67.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Sung J, Ho KY, Chiu HM, et al. The use of Pillcam Colon in assessing mucosal inflammation in ulcerative colitis: a multicenter study. Endoscopy. 2012;44(8):754–8.CrossRefPubMedGoogle Scholar
  17. 17.
    Hosoe N, Matsuoka K, Naganuma M, et al. Applicability of second-generation colon capsule endoscope to ulcerative colitis: a clinical feasibility study. J Gastroenterol Hepatol. 2013;28(7):1174–9.CrossRefPubMedGoogle Scholar
  18. 18.
    Usui S, Hosoe N, Matsuoka K, et al. Modified bowel preparation regimen for use in second-generation colon capsule endoscopy in patients with ulcerative colitis. Dig Endosc. 2014;26(5):665–72.CrossRefPubMedGoogle Scholar
  19. 19.
    Morita E, Ohtsuka N, Shindo Y, et al. In vivo trial of a driving system for a self-propelling capsule endoscope using a magnetic field (with video). Gastrointest Endosc. 2010;72(4):836–40.CrossRefPubMedGoogle Scholar
  20. 20.
    Rey JF, Ogata H, Hosoe N, et al. Feasibility of stomach exploration with a guided capsule endoscope. Endoscopy. 2010;42(7):541–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Japan 2018

Authors and Affiliations

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

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