Park Soo-Kyung, Ye Byong Duk, Kim Kyeong Ok, Park Cheol Hee, Lee Wan-Sik, Jang Byung Ik, Jeen Yoon Tae, Choi Myung-Gyu, Kim Hyun Jung
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. ; Inflammatory Bowel Disease Center, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Clin Endosc. 2015 Mar;48(2):128-35. doi: 10.5946/ce.2015.48.2.128. Epub 2015 Mar 27.
Video capsule endoscopy (VCE) is an ingestible video camera that transmits high-quality images of the small intestinal mucosa. This makes the small intestine more readily accessible to physicians investigating the presence of small bowel disorders, such as Crohn's disease (CD). Although VCE is frequently performed in Korea, there are no evidence-based guidelines on the appropriate use of VCE in the diagnosis of CD. To provide accurate information and suggest correct testing approaches for small bowel diseases, the Korean Gut Image Study Group, part of the Korean Society of Gastrointestinal Endoscopy, developed guidelines on VCE. Teams were set up to develop guidelines on VCE. Four areas were selected: diagnosis of obscure gastrointestinal bleeding, small bowel preparation for VCE, diagnosis of CD, and diagnosis of small bowel tumors. Three key questions were selected regarding the role of VCE in CD. In preparing these guidelines, a systematic literature search, evaluation, selection, and meta-analysis were performed. After writing a draft of the guidelines, the opinions of various experts were solicited before producing the final document. These guidelines are expected to play a role in the diagnosis of CD. They will need to be updated as new data and evidence become available.
视频胶囊内镜检查（VCE）是一种可吞咽的摄像机，可传输小肠黏膜的高质量图像。这使得医生在调查小肠疾病（如克罗恩病（CD））的存在时更容易观察小肠。尽管VCE在韩国经常进行，但在CD诊断中VCE的恰当使用尚无循证指南。为了提供准确信息并为小肠疾病建议正确的检测方法，韩国胃肠内镜学会下属的韩国肠道影像研究小组制定了VCE指南。成立了多个团队来制定VCE指南。选定了四个领域：不明原因消化道出血的诊断、VCE的小肠准备、CD的诊断以及小肠肿瘤的诊断。针对VCE在CD中的作用选定了三个关键问题。在制定这些指南时，进行了系统的文献检索、评估、筛选和荟萃分析。在撰写指南草案后，征求了各方面专家的意见，然后才形成最终文件。这些指南有望在CD的诊断中发挥作用。随着新数据和证据的出现，它们需要更新。
