Department of Hepato-Gastroenterology, Erasme Hospital, Free University of Brussels, 808 Route de Lennik, Brussels 1070, Belgium.
Gastroenterol Clin North Am. 2010 Dec;39(4):807-26. doi: 10.1016/j.gtc.2010.08.026.
Video capsule endoscopy (VCE) that was launched 10 years ago has become a first-line procedure for examining the small bowel, especially in the case of obscure gastrointestinal bleeding. Other major indications include Crohn disease (CD), celiac disease, and intestinal polyposis syndrome. In the case of small bowel diseases, the use of VCE must be integrated in a global diagnostic and therapeutic approach. More recently, wireless endoscopy has been adapted for examining the colon, opening up larger perspectives for colorectal cancer screening or colon examination. Technologic modifications of the second-generation colon capsule increase the sensitivity of this method for detecting polyps. Other new developments, including remote magnetic manipulation, power management, drug delivery capsule, microbiopsy capsule, and adaptation of technologies such as chromoendoscopy, are sure to enhance the capabilities of wireless endoscopy in gastrointestinal disorders.
视频胶囊内镜(VCE)于 10 年前问世,现已成为小肠检查的一线方法,尤其适用于不明原因的胃肠道出血。其他主要适应证包括克罗恩病(CD)、乳糜泻和肠息肉病综合征。在小肠疾病的情况下,VCE 的使用必须整合到整体诊断和治疗方法中。最近,无线内镜已被用于检查结肠,为结直肠癌筛查或结肠检查开辟了更大的前景。第二代结肠胶囊的技术改进提高了该方法检测息肉的灵敏度。其他新的发展,包括远程磁操作、电源管理、药物输送胶囊、微生物活检胶囊,以及诸如色素内镜等技术的应用,必将增强无线内镜在胃肠道疾病中的功能。