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SBCE Indications, Contraindications and Administration: Preps, Prokinetics, and Retention

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Capsule Endoscopy

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Abstract

With increasing experience and ease of use, wireless capsule endoscopy has become a popular tool for diagnosis of small bowel pathology. As with all tests in medicine, capsule endoscopy is only as useful as its ability to safely yield accurate results. Therefore, it is vital that clinicians familiarize themselves with appropriate criteria for use, accompanying assistive tools, and red flags that indicate the need for caution. This chapter will review the indications and contraindications of small bowel capsule endoscopy as well as familiarize the reader with appropriate steps that need to be taken to prepare patients for the procedure, including a review of the use of preparations, prokinetics, and the risks of capsule retention.

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References

  1. Wang A, Banerjee S, Barth BA, Bhat YM, Chauhan S, Gottlieb KT, et al. Wireless capsule endoscopy. Gastrointest Endosc. 2013;78:805–15.

    Article  PubMed  Google Scholar 

  2. Mustafa B, Samaan M, Langmead L, Khasraw M. Small bowel video capsule endoscopy: an overview. Expert Rev Gastroenterol Hepatol. 2013;7:323–9.

    Article  CAS  PubMed  Google Scholar 

  3. Leighton JA, Srivathsan K, Carey EJ, Sharma VK, Heigh RI, Post JK, et al. Safety of wireless capsule endoscopy in patients with implantable cardiac defibrillators. Am J Gastroenterol. 2005;100:1728–35.

    Article  PubMed  Google Scholar 

  4. Leighton J, Sharma V, Srivathsan K, Heigh R, McWane T, Post J, et al. Safety of capsule endoscopy in patients with pacemakers. Gastroenterol Endosc. 2004;59:567–9.

    Article  Google Scholar 

  5. Cuschieri J. Small bowel capsule endoscopy in patients with cardiac pacemakers and implantable cardioverter defibrillators: Outcome analysis using telemetry review. World J Gastrointest Endosc. 2012;4:87.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Bandorski D, Keuchel M, Brück M, Hoeltgen R, Wieczorek M, Jakobs R. Capsule endoscopy in patients with cardiac pacemakers, implantable cardioverter defibrillators, and left heart devices: a review of the current literature. Diagn Ther Endosc. 2011;2011:1–6.

    Article  Google Scholar 

  7. Harris L, Hansel S, Rajan E, Srivathsan K, Rea R, Crowell M, et al. Capsule endoscopy in patients with implantable electromedical devices is safe. Gastroenterol Res Pract. 2013;2013:1–5.

    Article  Google Scholar 

  8. Qureshi WA, Rajan E, Adler DG, Davila RE, Hirota WK, Jacobson BC, Leighton JA, Zuckerman MJ, Hambrick RD, Fanelli RD, Baron T. ASGE guideline: guidelines for endoscopy in pregnant and lactating women. Gastrointest Endosc. 2005;61(3):357–62.

    Article  PubMed  Google Scholar 

  9. Degli Esposti S. Endoscopy during pregnancy. Ask the Expert column, American Society for Gastrointestinal Endoscopy (ASGE), ASGE News; 2010. p. 1–7.

    Google Scholar 

  10. Wax J, Pinette M, Cartin A. Cavernous transformation of the portal vein complicating pregnancy. Obstet Gynecol. 2006;108:782–4.

    Article  PubMed  Google Scholar 

  11. Hogan R, Ahmad N, Hogan R, et al. Video capsule endoscopy detection of jejunal carcinoid in life-threatening hemorrhage, first trimester pregnancy. Gastrointest Endosc. 2007;66:205–7.

    Article  PubMed  Google Scholar 

  12. Viazis N, Sgouros S, Papaxoinis K, Vlachogiannakos J, Bergele C, Sklavos P, et al. Bowel preparation increases the diagnostic yield of capsule endoscopy: a prospective, randomized, controlled study. Gastrointest Endosc. 2004;60:534–8.

    Article  PubMed  Google Scholar 

  13. Niv Y. Efficiency of bowel preparation for capsule endoscopy examination: a meta-analysis. World J Gastroenterol. 2008;14:1313.

    Article  PubMed  PubMed Central  Google Scholar 

  14. Niv Y, Niv G, Wiser K, Demarco D. Capsule endoscopy – comparison of two strategies of bowel preparation. Aliment Pharmacol Ther. 2005;22:957–62.

    Article  CAS  PubMed  Google Scholar 

  15. Kotwal V, Attar B, Gupta S, Agarwal R. Should bowel preparation, antifoaming agents, or prokinetics be used before video capsule endoscopy? A systematic review and meta-analysis. Eur J Gastroenterol Hepatol. 2014;26:137–45.

    Article  CAS  PubMed  Google Scholar 

  16. Belsey J, Crosta C, Epstein O, Fischbach W, Layer P, Parente F, et al. Meta-analysis: efficacy of small bowel preparation for small bowel video capsule endoscopy. Curr Med Res Opin. 2012;28:1883–90.

    Article  PubMed  Google Scholar 

  17. Song H, Moon J, Do J, Cha I, Yang C, Choi M, et al. Guidelines for bowel preparation before video capsule endoscopy. Clin Endocrinol. 2013;46:147.

    Google Scholar 

  18. Hookey L, Louw J, Wiepjes M, Rubinger N, Van Weyenberg S, Day AG, Paterson W. Lack of benefit of active preparation compared with a clear fluid-only diet in small-bowel visualization for video capsule endoscopy: results of a randomized, blinded, controlled trial. Gastrointest Endosc. 2016. doi:http://dx.doi.org/10.1016/j.gie.2016.07.028.

  19. Papamichael K, Karatzas P, Theodoropoulos I, Kyriakos N, Archavlis E, Mantzaris GJ. Simethicone adjunct to polyethylene glycol improves small bowel capsule endoscopy imaging in non-Crohn’s disease patients. Ann Gastroenterol Quartly Pub Hellenic Soc Gastroenterol. 2015;28:464.

    Google Scholar 

  20. Koulaouzidis A, Dimitriadis S, Douglas S, Plevris J. The use of domperidone increases the completion rate of small bowel capsule endoscopy. J Clin Gastroenterol. 2015;49:395–400.

    Article  PubMed  Google Scholar 

  21. Koulaouzidis A, Giannakou A, Yung D, Dabos K, Plevris J. Do prokinetics influence the completion rate in small-bowel capsule endoscopy? A systematic review and meta-analysis. Curr Med Res Opin. 2013;29:1171–85.

    Article  CAS  PubMed  Google Scholar 

  22. Schmelkin I. Linaclotide decreases small bowel transit time and improves visualization of small bowel mucosa in patients undergoing small bowel capsule endoscopy. In Am J Gastroenterol. 2014;109:S117–8.

    Google Scholar 

  23. Stein D, Copland A, Orton C, McDaniel D, Hays R. P-115 single dose linaclotide for capsule endoscopy preparation-A pilot study. Inflammatory Bowel Diseases. 2016;22:S45.

    Article  Google Scholar 

  24. Pennazio M. Capsule endoscopy: where are we after 6 years of clinical use? Dig Liver Dis. 2006;38:867–78.

    Article  CAS  PubMed  Google Scholar 

  25. Liao Z, Gao R, Xu C, Li Z. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc. 2010;71:280–6.

    Article  PubMed  Google Scholar 

  26. Bernstein C, Boult I, Greenberg H, van der Putten W, Duffy G, Grahame G. A prospective randomized comparison between small bowel enteroclysis and small bowel follow-through in Crohn’s disease. Gastroenterology. 1997;113:390–8.

    Article  CAS  PubMed  Google Scholar 

  27. Hara A, Leighton J, Heigh R, Sharma V, Silva A, De Petris G, et al. Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow-through, and ileoscopy. Radiology. 2006;238:128–34.

    Article  PubMed  Google Scholar 

  28. Maglinte D, Burney B, Miller R. Lesions missed on small-bowel follow-through: analysis and recommendations. Radiology. 1982;144:737–9.

    Article  CAS  PubMed  Google Scholar 

  29. De Franchis R, Contessini Avesani E, Abbiati C, Rondonotti E, Zatelli S, Beccari G, et al. Unsuspected ileal stenosis causing obscure GI bleeding in patients with previous abdominal surgery—diagnosis by capsule endoscopy: a report of two cases. Dig Liver Dis. 2003;35:577–84.

    Article  CAS  PubMed  Google Scholar 

  30. Barlow J, Goss B, Hansel S, Kolbe A, Rackham J, Bruining D, et al. CT enterography: technical and interpretive pitfalls. Abdom Imaging. 2015;40:1081–96.

    Article  PubMed  Google Scholar 

  31. Boivin M, Lochs H, Voderholzer W. Does passage of a patency capsule indicate small-bowel patency? a prospective clinical trial? Endoscopy. 2005;37:808–15.

    Article  CAS  PubMed  Google Scholar 

  32. Spada C, Spera G, Riccioni M, Biancone L, Petruzziello L, Tringali A, et al. A novel diagnostic tool for detecting functional patency of the small bowel: the given patency capsule. Endoscopy. 2005;37:793–800.

    Article  CAS  PubMed  Google Scholar 

  33. Cheifetz A, Lewis B. Capsule endoscopy retention: is it a complication? J Clin Gastroenterol. 2006;40:688–91.

    Article  PubMed  Google Scholar 

  34. Delvaux M, Ben Soussan E, Laurent V, Lerebours E, Gay G. Clinical evaluation of the use of the M2A patency capsule system before a capsule endoscopy procedure, in patients with known or suspected intestinal stenosis. Endoscopy. 2005;37:801–7.

    Article  CAS  PubMed  Google Scholar 

  35. Garg S, Anand R, Dubin E, Kantsevoy S, Dutta S. Endoscopic management of retained patency capsules. Endoscopy. 2014;46:E662–3.

    Article  PubMed  Google Scholar 

  36. Caunedo-Álvarez Á. Patency and agile capsules. World J Gastroenterol. 2008;14:5269–73.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Yadav A, Heigh RI, Hara AK, Decker GA, Crowell MD, Gurudu SR, Pasha SF, Fleischer DE, Harris LA, Post J, Leighton JA. 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.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Medicine, Doctors Medical Center, Modesto, CA, USA

    Michal R. Gross MD

  2. Atrius Health – Chief of Gastroenterology, Harvard Medical School, Boston, MA, USA

    Daniel S. Mishkin MD,CM,FRCP(C),FASGE,FACG,AGAF

Authors
  1. Michal R. Gross MD
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  2. Daniel S. Mishkin MD,CM,FRCP(C),FASGE,FACG,AGAF
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Corresponding author

Correspondence to Daniel S. Mishkin MD,CM,FRCP(C),FASGE,FACG,AGAF .

Editor information

Editors and Affiliations

  1. Yale University School of Medicine Gastroenterology Center of Connecticut, Hamden, Connecticut, USA

    David J. Hass

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Gross, M.R., Mishkin, D.S. (2017). SBCE Indications, Contraindications and Administration: Preps, Prokinetics, and Retention. In: Hass, D. (eds) Capsule Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-319-49173-8_2

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  • DOI: https://doi.org/10.1007/978-3-319-49173-8_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-49171-4

  • Online ISBN: 978-3-319-49173-8

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