Romero-Vázquez Javier, Argüelles-Arias Federico, García-Montes Josefa Maria, Caunedo-Álvarez Ángel, Pellicer-Bautista Francisco Javier, Herrerías-Gutiérrez Juan Manuel
Javier Romero-Vázquez, Federico Argüelles-Arias, Josefa Maria García-Montes, Ángel Caunedo-Álvarez, Francisco Javier Pellicer-Bautista, Juan Manuel Herrerías-Gutiérrez, Gastroenterology Service, Virgen Macarena University Hospital, 41071 Seville, Spain.
World J Gastroenterol. 2014 Jun 21;20(23):7424-33. doi: 10.3748/wjg.v20.i23.7424.
Capsule endoscopy is nowadays the diagnostic technique of choice in the study of small bowel pathologies, allowing the non-invasive study of the entire mucosa. This has led, together with new technical advances, to the creation of two new models (PillCam ESO and PillCam Colon) for the study of esophageal and colonic diseases. These two new capsules offer an interesting alternative to conventional endoscopy in the study of the upper and lower digestive tracts, because traditional endoscopy is often unpleasant and uncomfortable for the patient, can be painful, often requires moderate or deep sedation and is not without complications (hemorrhage, perforation, etc.). PillCam Colon is particularly important for its usefulness in the diagnosis of colonic polyps, and is a potentially useful tool in cases of incomplete colonoscopy or in colorectal cancer screening, even more when most patients are reluctant to undergo screening programs due to the said disadvantages of conventional colonoscopy. This article discusses the advantages of capsule endoscopy over conventional endoscopy, its current application possibilities and indications in routine clinical practice. In the various sections of the work, we assess the application of endoscopic capsule in different sections of the digestive tract (esophagus, stomach, and colon) and finally the potential role of panendoscopy with PillCam Colon.
如今，胶囊内镜检查是小肠疾病研究中的首选诊断技术，可对整个黏膜进行无创检查。这与新的技术进步一起，催生了两种用于食管和结肠疾病研究的新模型（食管胶囊内镜和结肠胶囊内镜）。在上下消化道的研究中，这两种新型胶囊为传统内镜检查提供了一种有趣的替代方法，因为传统内镜检查对患者来说往往不愉快且不舒服，可能会很痛苦，通常需要适度或深度镇静，并且并非没有并发症（出血、穿孔等）。结肠胶囊内镜在结肠息肉诊断中的实用性尤为重要，在结肠镜检查不完全或进行结直肠癌筛查时，它是一种潜在有用的工具，尤其是当大多数患者因传统结肠镜检查的上述缺点而不愿接受筛查程序时。本文讨论了胶囊内镜相对于传统内镜的优势、其在常规临床实践中的当前应用可能性和适应症。在工作的各个部分，我们评估了内镜胶囊在消化道不同部位（食管、胃和结肠）的应用，最后评估了结肠胶囊内镜全消化道检查的潜在作用。
