Document Detail

Video capsule endoscopy of the small bowel (PillCam SB).
MedLine Citation:
PMID:  16462167     Owner:  NLM     Status:  MEDLINE    
PURPOSE OF REVIEW: It is 4 years since capsule endoscopy was first introduced. This disposable 27 mm x 11 mm video capsule containing its own optical dome, light source, batteries, transmitter and antenna is swallowed with water after a 12 h fast. The capsule is propelled via peristalsis through the gastrointestinal tract, capturing about 60 000 digital images and is excreted naturally. In a relatively short period, capsule endoscopy has become an important investigative tool in patients with occult gastrointestinal bleeding, suspected small bowel tumors and other abnormalities. The aim of this review is to update the reader with the main indications, performance and complications of the technique. RECENT FINDINGS: There are some clear indications for capsule endoscopy: occult gastrointestinal bleeding, suspected small bowel tumor, suspected Crohn's disease, surveillance of inherited polyposis syndromes, drug-induced small bowel injury or any abnormal small bowel imaging. Problematic areas include defining what are normal findings and the inability to take biopsies and thus differentiate between entities. SUMMARY: Capsule endoscopy has become a first-line tool to detect abnormalities in the small bowel, and is superior to all other imaging technologies. Its interplay with the new technique of double balloon enteroscopy enables the small bowel to receive proper attention, similar to other gastrointestinal organs.
Abraham R Eliakim
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Current opinion in gastroenterology     Volume:  22     ISSN:  0267-1379     ISO Abbreviation:  Curr. Opin. Gastroenterol.     Publication Date:  2006 Mar 
Date Detail:
Created Date:  2006-02-07     Completed Date:  2006-07-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8506887     Medline TA:  Curr Opin Gastroenterol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  124-7     Citation Subset:  IM    
Rambam Medical Center, Bat Galim, Haifa, Israel.
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MeSH Terms
Endoscopes, Gastrointestinal*
Equipment Design
Intestinal Diseases / diagnosis*
Intestine, Small / pathology*
Miniaturization / instrumentation*
Video Recording / instrumentation*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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