Skip to main content
SpringerLink
Log in

Capsule endoscopy in the pediatric patient

  • Published:
Current Treatment Options in Gastroenterology Aims and scope Submit manuscript

Abstract

Wireless capsule endoscopy represents an extraordinary technical innovation in diagnostic gastrointestinal endoscopy. As in adult patients, it opens new horizons that permit an accurate and noninvasive approach to identifying occult lesions in the small bowel in children and adolescents. A limitation in the pediatric age group is the size of the capsule, precluding its use in infants and small toddlers. In children unable to swallow the capsule, “front loading” the gastroscope to introduce it into the duodenum is a suitable alternative approach. Capsule endoscopy is highly useful to evaluate for inflammatory changes in patients suspected to have small bowel Crohn’s disease in whom conventional imaging failed to confirm the diagnosis. It is now the method of first choice to assess for small bowel polyps or tumors, to find a source of blood loss in obscure intestinal bleeding, and for undiagnosed malabsorptive conditions such as intestinal lymphangiectasia. Capsule retention is the one major potential adverse effect of capsule endoscopy. In patients suspected to have a small bowel stenosis, consideration should be given to using the patency capsule prior to using the real videocapsule so as to decrease the risk of capsule retention.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References and Recommended Reading

  1. Seidman EG, Sant’Anna AM, Dirks MH:Potential applications of wireless capsule endoscopy in the pediatric age group.Gastrointest Endosc Clin N Am 2004,14:207–218.

    Article  PubMed  Google Scholar 

  2. Waye JD:Small-bowel endoscopy.Endoscopy 2003,35:15–21.

    Article  PubMed  CAS  Google Scholar 

  3. Yamamoto H, Kita H, Sunada K, et al.:Clinical out-comes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases.Clin Gastroenterol Hepatol 2004,2:1010–1016.

    Article  PubMed  Google Scholar 

  4. Iddan G, Meron G, Glukhovsky A, Swain P:Wireless capsule endoscopy.Nature 2000,405:417.

    Article  PubMed  CAS  Google Scholar 

  5. Costamagna G, Shah SK, Riccioni ME, et al.:A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease.Gastroenterology 2002,123:999–1005.

    Article  PubMed  Google Scholar 

  6. Ell C, Remke S, May A, et al:The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding.Endoscopy 2002,34:685–689.

    Article  PubMed  CAS  Google Scholar 

  7. Pennazio M, Santucci R, Rondonotti E, et al.:Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases.Gastroenterology 2004,126:643–653.

    Article  PubMed  Google Scholar 

  8. Triester SL, Leighton JA, Leontiadis GI, et al.:Ameta-analysis of capsule endoscopy (CE) compared to other modalities in patients with non-stricturing small bowel Crohn disease.Am J Gastroenterol 2006,101:954–964.

    Article  PubMed  Google Scholar 

  9. Petroniene R, Dubenco E, Baker JP, et al.:Given capsule endoscopy in celiac disease: evaluation of diagnostic accuracy and interobserver variation.Am J Gastroenterol 2005,100:685–694.

    Article  PubMed  Google Scholar 

  10. de Mascarenhas-Saraiva MN, da Silva Araujo Lopes LM:Small-bowel tumors diagnosed by wireless capsule endoscopy: report of five cases.Endoscopy 2003,35:865–868.

    Article  PubMed  Google Scholar 

  11. Guilhon de Araujo Sant’Anna AM, Dubois J, Miron MJ, Seidman EG:Wireless capsule endoscopy for obscure small bowel disorders: final results of the first pediatrie controlled trial.Clin Gastroenterol Hepatol 2005,3:264–270.

    Article  Google Scholar 

  12. Arguelles-Arias F, Caunedo A, Romero J, et al.:The value of capsule endoscopy in pediatrie patients with a suspicion of Crohn’s disease.Endoscopy 2004,36:869–873.

    Article  PubMed  CAS  Google Scholar 

  13. Barkay O, Moshkowitz M, Reif S:Crohn’s disease diagnosed by wireless capsule endoscopy in adolescents with abdominal pain, protein-losing enteropathy, anemia and negative endoscopie and radiologie findings.Isr Med Assoc J 2005,7:216–218.

    PubMed  Google Scholar 

  14. Maiden L, Thjodleifsson B, Theodors A, et al.:A quantitative analysis of NSAID-induced small bowel pathology by capsule enteroscopy.Gastroenterology 2005,128:1172–1178.

    Article  PubMed  Google Scholar 

  15. Goldstein JL, Eisen GM, Lewis B, et al.:Video capsule endoscopy to prospectively assess small bowel injury with celecoxib, naproxen plus omeprazole, and placebo.Clin Gastroenterol Hepatol 2005,3:133–141.

    Article  PubMed  Google Scholar 

  16. Mata A, Bordas JM, Feu F, et al.:Wireless capsule endoscopy in patients with obscure gastrointestinal bleeding: a comparative study with push enteroscopy.Aliment Pharmacol Ther 2004,20:189–194.

    Article  PubMed  CAS  Google Scholar 

  17. Soares J, Lopes L, Vilas Boas G, Pinho C:Wireless capsule endoscopy for evaluation of phenotypic expression of small-bowel polyps in patients with PeutzJeghers syndrome and in symptomatic first-degree relatives.Endoscopy 2004,36:1060–1066.

    Article  PubMed  CAS  Google Scholar 

  18. Caspari R, von Falkenhausen M, Krautmacher C, et al.:Comparison of capsule endoscopy and magnetic resonance imaging for the detection of polyps of the small intestine in patients with familial adenomatous polyposis or with Peutz-Jeghers’ syndrome.Endoscopy 2004,36:1054–1059.

    Article  PubMed  CAS  Google Scholar 

  19. Schulmann K, Hollerbach S, Kraus K, et al.:Feasibility and diagnostic utility of video capsule endoscopy for the detection of small bowel polyps in patients with hereditary polyposis syndromes.Am J Gastroenterol 2005,100:27–37.

    Article  PubMed  Google Scholar 

  20. Pennazio M, Eisen G, Goldfarb N:ICCE consensus for obscure intestinal bleeding.Endoscopy 2005,37:1046–1050.

    Article  PubMed  CAS  Google Scholar 

  21. De Bona M, Bellumat A, De Boni M:Capsule endoscopy for the diagnosis and follow-up of blue rubber bleb nevus syndrome.Dig Liver Dis 2005,37:451–453.

    Article  PubMed  Google Scholar 

  22. Murray JA, Brogan D, Van dyke C, et al.:Mapping the extent of untreated celiac disease with capsule enteroscopy [abstract].Gastrointest Endosc 2004,59:AB101.

    Article  Google Scholar 

  23. Cellier C, Green PH, Collin P, Murray J:ICCE consensus for celiac disease.Endoscopy 2005,37:1055–1059.

    Article  PubMed  CAS  Google Scholar 

  24. Mihaly F, Nemeth A, Zagoni T, et al.:Gastrointestinal manifestations of common variable immunodeficiency diagnosed by video- and capsule endoscopy.Endoscopy 2005,37:603–604.

    Article  PubMed  CAS  Google Scholar 

  25. Yakoub-Agha I, Maunoury V, Wacrenier A, et al.:Impact of small bowel exploration using video-capsule endoscopy in the management of acute gastrointestinal graft-versus-host disease.Transplantation 2005,79:1767.

    Google Scholar 

  26. Barth BA, Donovan K, Fox VL:Endoscopie placement of the capsule endoscope in children.Gastrointest Endosc 2004,60:818–821.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Gastroenterology, Montreal Children’s Hospital, 2300 Tupper Street, Room D562, H3H 1P3, Montreal, Quebec, Canada

    Ernest G. Seidman MD, FRCP(C), FACG

Authors
  1. Ernest G. Seidman MD, FRCP(C), FACG
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Martha H. Dirks MD, FRCP(C)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ernest G. Seidman MD, FRCP(C), FACG.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Seidman, E.G., Dirks, M.H. Capsule endoscopy in the pediatric patient. Curr Treat Options Gastro 9, 416–422 (2006). https://doi.org/10.1007/BF02738531

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02738531

Keywords

Search

Navigation