Abstract
More than a decade has passed since small-bowel capsule endoscopy (CE) was developed. One of the indication for small-bowel CE is suspected/diagnosed Crohn’s disease (CD). Patients who are suspected CD with negative ileocolonoscopy are good candidate for small-bowel CE. In patients with suspected CD, the risk of small-bowel capsule retention is comparable to that when the small-bowel CE is applied for obscure gastrointestinal bleeding. On the other hand, in patients with an established diagnosis of CD, the risk of small-bowel capsule retention is increased, particularly in those with known intestinal stenosis. In the presence of obstructive symptoms or known stenosis, small-bowel cross-sectional imaging or patency capsule, which is a self-dissolving dummy capsule, should generally precede small-bowel CE. Colon CE (CCE) was first reported in 2006. CCE may be appropriate for inflammatory bowel disease; however, the efficacy of CCE on IBD has not been still unconfirmed. A possible application for CCE for IBD is ulcerative colitis.
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Naoki Hosoe received a research grant from Covidien Co. Ltd.
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Hosoe, N. (2018). Current Progress of Endoscopy in Inflammatory Bowel Disease: Capsule Endoscopy. In: Hibi, T., Hisamatsu, T., Kobayashi, T. (eds) Advances in Endoscopy in Inflammatory Bowel Disease. Springer, Tokyo. https://doi.org/10.1007/978-4-431-56018-0_4
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DOI: https://doi.org/10.1007/978-4-431-56018-0_4
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