Legnani Peter, Abreu Maria T
Department of Medicine, Mount Sinai School of Medicine, One Gustav L. Levy Place, Box 1118, New York, NY 10029, USA.
Gastrointest Endosc Clin N Am. 2006 Apr;16(2):299-306. doi: 10.1016/j.giec.2006.03.001.
There remains significant uncertainty regarding the role of capsule endoscopy in the setting of known inflammatory bowel disease (IBD). Capsule endoscopy should be considered for patients who have indeterminate colitis, who are failing medical therapy or who may require colectomy, who have truly unexplained symptoms based on standard endoscopy and radiography, and who have IBD and obscure bleeding. Although capsule endoscopy clearly detects small bowel pathology with greater sensitivity than other methods, the implications of these lesions are not fully understood. At this time, use of capsule endoscopy as a tool for the evaluation of mucosal healing or for prognostication of post-operative recurrence remains investigational.
关于胶囊内镜在已知炎症性肠病（IBD）中的作用仍存在重大不确定性。对于患有不确定性结肠炎、药物治疗失败或可能需要结肠切除术、基于标准内镜检查和影像学检查有真正无法解释的症状以及患有IBD且有隐匿性出血的患者，应考虑进行胶囊内镜检查。尽管胶囊内镜比其他方法更能灵敏地检测小肠病变，但这些病变的意义尚未完全明确。目前，将胶囊内镜用作评估黏膜愈合或预测术后复发的工具仍处于研究阶段。
