Van Gossum Andre
Department of Gastroenterology, Erasme Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Curr Opin Gastroenterol. 2014 Sep;30(5):472-6. doi: 10.1097/MOG.0000000000000103.
Video capsule endoscopy, which was initially developed for exploring the small bowel, has been adapted for investigating the colon. This review summarizes recent developments in colon capsule technology as well as indications for its use.
Second-generation PillCam colon capsule endoscopy (CCE-2) has been recently developed and has significantly improved the sensitivity and specificity of colon capsules for detecting polyps and/or tumors in patients with suspected or known colonic lesions. The use of CCE-2 has been shown to be of value in patients with incomplete standard colonoscopy. The use of CCE-2 has also been investigated in patients with ulcerative colitis and in outpatient settings. Several trials have tried to simplify the colon preparation regimen.
Colon capsule endoscopy is a novel technique for exploring the colon. CCE-2 has improved the diagnostic capability of this noninvasive method. There is still room for improvement and simplification of colon preparation regimens. Apart from detection of polyps or neoplasms, colon capsule endoscopy has also been assessed in patients with inflammatory bowel disease.
视频胶囊内镜最初是为探索小肠而开发的，现已应用于结肠检查。本综述总结了结肠胶囊技术的最新进展及其使用指征。
第二代结肠胶囊内镜（CCE-2）最近已开发出来，显著提高了结肠胶囊在检测疑似或已知结肠病变患者息肉和/或肿瘤方面的敏感性和特异性。CCE-2已被证明在标准结肠镜检查不完全的患者中具有价值。CCE-2在溃疡性结肠炎患者和门诊环境中的应用也得到了研究。多项试验试图简化结肠准备方案。
结肠胶囊内镜是一种探索结肠的新技术。CCE-2提高了这种非侵入性方法的诊断能力。结肠准备方案仍有改进和简化的空间。除了检测息肉或肿瘤外，结肠胶囊内镜在炎症性肠病患者中也得到了评估。
