Lewis Blair-S
Division of Gastroenterology, Mount Sinai School of Medicine, 1067 Fifth Ave, New York 10128-0101, United States.
World J Gastroenterol. 2008 Jul 14;14(26):4137-41. doi: 10.3748/wjg.14.4137.
Capsule endoscopy has been shown to detect small bowel inflammatory changes better than any other imaging modality. Selection criteria have been optimized to increase the yield of capsule endoscopy in patients suspected to have Crohn's disease. Capsule endoscopy allows for earlier diagnosis of Crohn's disease of the small bowel and improved diagnosis of colitis in patients where it is unclear if they suffer from Crohn's or ulcerative colitis. A test capsule is available to assess for small bowel strictures and thus avoid capsule retention. A common language has been developed and a new scoring index will be added to capsule software. It is envisioned that the manner in which we treat Crohn's disease in the future will change, based on earlier diagnosis and treatment aimed at mucosal healing rather than symptom improvement.
与其他任何成像方式相比，胶囊内镜已被证明能更好地检测小肠炎症变化。选择标准已得到优化，以提高疑似患有克罗恩病患者的胶囊内镜检查阳性率。胶囊内镜能够更早地诊断小肠克罗恩病，并改善对患有克罗恩病或溃疡性结肠炎但病情不明患者的结肠炎诊断。有一种测试胶囊可用于评估小肠狭窄，从而避免胶囊滞留。已经形成了一种通用语言，并且将在胶囊软件中添加一个新的评分指数。预计未来我们治疗克罗恩病的方式将会改变，基于早期诊断以及旨在实现黏膜愈合而非症状改善的治疗。
