a Digestive Endoscopy Unit and Gastroenterology , Fondazione Poliambulanza , Brescia , Italy.
b Department of Gastroenterology , Fondazione Policlinico Universitario A. Gemelli IRCCS -Università Cattolica del Sacro Cuore , Roma , Italy.
Expert Rev Anticancer Ther. 2019 Jan;19(1):71-80. doi: 10.1080/14737140.2019.1538798. Epub 2018 Oct 30.
: Colorectal cancer (CRC) represents a major cause of morbidity and mortality in Western countries. Though colonoscopy is the benchmark for CRC diagnosis and management, other alternatives have been proposed. Colon capsule endoscopy (CCE) was first introduced in 2006 as a non-invasive painless technology that utilizes an ingestible, wireless, and disposable capsule to explore the colon, without sedation or air insufflation. : To date, the European Society of Gastrointestinal Endoscopy (ESGE) guidelines consider CCE as an option for average-risk colorectal cancer screening patients and in patients with contraindications or unwilling to undergo colonoscopy and/or with an incomplete colonoscopy. Furthermore, Japan's Pharmaceuticals and Medical Devices Agency (JPMDA) and Food and Drug Administration (FDA) approved the use of CCE in patients unwilling or unable to undergo colonoscopy. : CCE accuracy is nearly comparable to conventional colonoscopy for CRC and significant polyps. Moreover, in the setting of incomplete colonoscopy, CCE was demonstrated to have a higher diagnostic yield for significant polyps and to be better tolerated than CTC. However, the use of CCE is still limited. The lesson coming out is that we should explore new populations that are suitable for colon capsules and for which the colon capsule can be an advantage.
结直肠癌(CRC)是西方国家发病率和死亡率的主要原因。虽然结肠镜检查是 CRC 诊断和管理的基准,但也提出了其他替代方法。胶囊内镜于 2006 年首次被引入,作为一种非侵入性、无痛的技术,它使用可摄入的、无线的和一次性的胶囊来探索结肠,无需镇静或空气注入。
迄今为止,欧洲胃肠道内窥镜学会(ESGE)指南将 CCE 视为平均风险结直肠癌筛查患者和有结肠镜检查禁忌或不愿意进行结肠镜检查和/或结肠镜检查不完全的患者的选择。此外,日本药品和医疗器械管理局(JPMDA)和美国食品和药物管理局(FDA)批准 CCE 用于不愿意或不能进行结肠镜检查的患者。
CEC 对 CRC 和大息肉的准确性几乎与传统结肠镜检查相当。此外,在结肠镜检查不完全的情况下,CEC 显示出对大息肉的更高诊断率,并且比 CTC 更耐受。然而,CEC 的使用仍然有限。得出的教训是,我们应该探索适合结肠胶囊的新人群,以及结肠胶囊可以发挥优势的人群。
Expert Rev Anticancer Ther. 2018-10-30
Curr Gastroenterol Rep. 2018-4-12
Gastrointest Endosc Clin N Am. 2015-4
Gastrointest Endosc. 2017-5-26
Clin Gastroenterol Hepatol. 2016-5-7
Diagnostics (Basel). 2022-6-12
Cancer Drug Resist. 2021-10-26
Nat Rev Gastroenterol Hepatol. 2022-8
J Clin Med. 2021-5-28