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Video Capsule Endoscopy

Abstract

Video capsule endoscopy (VCE) is an established endoscopic modality that allows remote examination (without intubation) of almost the whole of the gastrointestinal (GI) tract. The first device was developed to examine the small bowel, previously inaccessible to endoscopic examination, for which it is now a first-line investigative modality. Most commonly, small bowel VCE is used in patients with suspected bleeding or to identify evidence of active Crohn’s disease (in patients with or without a prior history of the disease). Conventionally, VCE is undertaken after upper and lower gastrointestinal flexible endoscopy has failed to make a diagnosis. (Small bowel radiology or a patency capsule test should be considered prior to VCE to minimize the risk of capsule retention in patients at high risk of strictures, such as those with Crohn’s disease, a long history of ingestion of nonsteroidal anti-inflammatory drugs [NSAIDs], or obstructive symptoms.) VCE may also be used in patients with celiac disease, polyposis syndromes, and other small bowel disorders. Since the advent of small bowel capsule endoscopy (SBCE), dedicated esophageal and colon capsule endoscopes have expanded the fields of application to include the investigation of the upper and lower GI tract as well as midgut disorders. Esophageal capsule endoscopy (ECE) may be used to diagnose esophagitis, Barrett’s esophagus, and varices, but it cannot be relied on to identify gastroduodenal disease. Colon capsule endoscopy (CCE) offers an alternative to conventional colonoscopy for symptomatic patients, and a possible role in colon cancer screening is intriguing. Current research is already addressing the possibility of controlling capsule movement and developing capsules that allow tissue sampling and the administration of therapy.

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. Gastroenterology and Liver Unit, Royal Hallamshire Hospital, Sheffield, UK

    Mark E. McAlindon

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

    Friedrich Hagenmüller

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

    David E. Fleischer

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  1. Mark E. McAlindon
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  2. Friedrich Hagenmüller
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Correspondence to Mark E. McAlindon .

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  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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McAlindon, M.E., Hagenmüller, F., Fleischer, D.E. (2014). Fields of Application. In: Keuchel, M., Hagenmüller, F., Tajiri, H. (eds) Video Capsule Endoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44062-9_2

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