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Applications of Colon Capsule Endoscopy

  • Shabana F. Pasha
Large Intestine (B Cash, Section Editor)
  • 185 Downloads
Part of the following topical collections:
  1. Topical Collection on Large Intestine

Abstract

Purpose of Review

This is a review of colon capsule endoscopy (CCE) with a focus on its recent developments, technological improvements, and current and potential future indications.

Recent Findings

Based on the current literature, CCE II demonstrates comparable polyp detection rates as optical colonoscopy and CT colonography, and improved cost-effectiveness. The main limitation to patient acceptance is the requirement of a rigorous bowel preparation. Preliminary studies show good correlation between CCE and optical colonoscopy for assessment of colonic disease activity in inflammatory bowel disease (IBD).

Summary

CCE II is currently FDA, approved as an adjunctive test in patients with prior incomplete colonoscopy, and in the evaluation of patients with suspected lower gastrointestinal bleeding. The test is approved in Europe as one of the options for average-risk colorectal cancer screening, and high-risk screening in patients with contraindications or unwilling to undergo colonoscopy. CCE has a potential role in the evaluation and monitoring of colonic disease activity in IBD. Future technological advances should focus on minimizing bowel preparation, improvement in reading times, and development of therapeutic capabilities.

• With technological improvements, the second-generation colon capsule has a significantly higher sensitivity than the first-generation capsule for detection of colon polyps.

• Colon capsule endoscopy has been approved in Europe as an option for average-risk colorectal cancer screening, and high-risk screening in patients with contraindications or unwilling to undergo colonoscopy.

• Colon capsule endoscopy has received FDA approval as an option for colorectal cancer screening in patients with prior incomplete colonoscopy, and in evaluation of patients with suspected lower gastrointestinal bleeding.

• Colon capsule endoscopy may have a role in evaluation and monitoring of inflammatory bowel disease.

• Colon capsule endoscopy currently requires a bowel preparation that is more rigorous than colonoscopy.

Keywords

Colon capsule endoscopy Colon capsule Colorectal cancer screening Inflammatory bowel disease Crohn disease Ulcerative colitis Colonoscopy Incomplete colonoscopy CT colonography Bowel preparation 

Notes

Compliance with Ethical Standards

Conflict of Interest

Shabana Pasha reports research grants from Medtronic, outside the submitted work.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Division of Gastroenterology and HepatologyMayo Clinic ArizonaScottsdaleUSA

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