Role of wireless capsule endoscopy in the follow-up ofinflammatory bowel disease

• 作者: Dimitrios K Christodoulou Epameinondas V Tsianos. Ioannis V Mitselos Konstantinos H Katsanos
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Small bowel capsule ENDOSCOPY Coloncapsule ENDOSCOPY Crohn's disease Ulcerative COLITIS INDETERMINATE COLITIS Postoperative ILEAL pouch-analanastomosis Refractory POUCHITIS
• 年，卷（期）: 2015,（6）
• 页码范围: 643-651
• 页数: 9页
• 分类号: R

摘要

The introduction of wireless capsule endoscopy in2000 has revolutionized our ability to visualize partsof the small bowel mucosa classically unreached bythe conventional endoscope, and since the recentintroduction of colon capsule endoscopy, a promisingalternative method has been available for the evaluationof large bowel mucosa. The advantages of wirelesscapsule endoscopy include its non-invasive characterand its ability to visualize proximal and distal parts ofthe intestine, while important disadvantages include theprocedure＇s inability of tissue sampling and significantincompletion rate. Its greatest limitation is the prohibiteduse in cases of known or suspected stenosis of theintestinal lumen due to high risk of retention. Wirelesscapsule endoscopy plays an important role in theearly recognition of recurrence, on Crohn＇s diseasepatients who have undergone ileocolonic resection forthe treatment of Crohn＇s disease complications, andin patients＇ management and therapeutic strategyplanning, before obvious clinical and laboratory relapse.Although capsule endoscopy cannot replace traditionalendoscopy, it offers valuable information on theevaluation of intestinal disease and has a significantimpact on disease reclassification of patients with aprevious diagnosis of ulcerative colitis or inflammatorybowel disease unclassified/indeterminate colitis.Moreover, it may serve as an effective alternativewhere colonoscopy is contraindicated and in cases withincomplete colonoscopy studies. The use of patencycapsule maximizes safety and is advocated in cases ofsuspected small or large bowel stenosis.