Current role of capsule endoscopy in Crohn’s disease

• 作者: Ana Durá-Ayet Carlos Boix Clemente Cecilia Albert Antequera Génesis Castillo-López Javier Sempere-Garcia-Argüelles Lara González-González Laura Larrey-Ruiz Laura Peno-Munoz Laura Sanchis-Artero Marisol Luján-Sanchis Paola Nunez-Martinez
• 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: CAPSULE ENDOSCOPY INFLAMMATORY BOWEL DISEASE Crohn’s DISEASE
• 年，卷（期）: 2016,（17）
• 页码范围: 572-583
• 页数: 12页
• 分类号: R765.23

摘要

Capsule endoscopy (CE) currently plays an important role in Crohn’s disease (CD). It is a noninvasive technique that has led to a breakthrough in the endoscopic diagnosis of diseases of the small intestine. Its superior diagnostic performance and excellent safety profile lead to its considerable acceptance on the part of the patient. This paper reviews current indications of CE in three stages of clinical practice: Suspected CD, unclassified colitis and its extensive role in diagnosed CD. The diagnostic and therapeutic impact of the results of CE on the monitoring of this disease is also reviewed.Knowledge of its applications, the interpretation of its results in an appropriate context and the existence of a validated endoscopic activity index could change the way in which these patients are managed. The definition of mucosal healing and postoperative recurrence by means of endoscopic scoring systems will endow CE with new applications in the management of CD in the near future.