Hilmi Ida, Kobayashi Taku
Department of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia.
Center for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan.
Intest Res. 2020 Jul;18(3):265-274. doi: 10.5217/ir.2019.09165. Epub 2020 Jul 7.
Capsule endoscopy (CE) is emerging as an important investigation in inflammatory bowel disease (IBD); common types include the standard small bowel CE and colon CE. More recently, the pan-enteric CE was developed to assess the large and small bowel in patients with Crohn's disease (CD). Emerging indications include noninvasive assessment for mucosal healing (both in the small bowel and the colon) and detection of postoperative recurrence in patients with CD. Given the increasing adoption, several CE scoring systems have been specifically developed for IBD. The greatest concern with performing CE, particularly in CD, is capsule retention, but this can be overcome by performing cross-sectional imaging such as magnetic resonance enterography and using patency capsules before performing the procedure. The development of software for automated detection of mucosal abnormalities typically seen in IBD may further increase its adoption.
胶囊内镜检查（CE）正在成为炎症性肠病（IBD）的一项重要检查；常见类型包括标准小肠CE和结肠CE。最近，全肠道CE被开发用于评估克罗恩病（CD）患者的大肠和小肠。新出现的适应症包括对黏膜愈合的无创评估（小肠和结肠）以及检测CD患者的术后复发。鉴于其越来越广泛的应用，已经专门为IBD开发了几种CE评分系统。进行CE时，尤其是在CD患者中，最令人担忧的是胶囊滞留，但这可以通过进行横断面成像（如磁共振肠造影）以及在检查前使用通畅胶囊来克服。用于自动检测IBD中常见黏膜异常的软件的开发可能会进一步增加其应用。
