Hong Seung Min, Jung Sung Hoon, Baek Dong Hoon
Department of Internal Medicine, Pusan National University School of Medicine, Busan 49421, Korea.
Biomedical Research Institute, Pusan National University Hospital, Busan 49421, Korea.
Diagnostics (Basel). 2021 Oct 5;11(10):1842. doi: 10.3390/diagnostics11101842.
Observing the entire small bowel is difficult due to the presence of complex loops and a long length. Capsule endoscopy (CE) provides a noninvasive and patient-friendly method for visualizing the small bowel and colon. Small bowel capsule endoscopy (SBCE) has a critical role in the diagnosis of small bowel disorders through the direct observation of the entire small bowel mucosa and is becoming the primary diagnostic tool for small bowel diseases. Recently, colon capsule endoscopy (CCE) was also considered safe and feasible for obtaining sufficient colonic images in patients with incomplete colonoscopy, in the absence of bowel obstruction. This review article assesses the current status of CE in terms of the diagnostic yield and the clinical impact of SBCE in patients with obscure gastrointestinal bleeding, who have known or suspected Crohn's disease, small bowel tumor and inherited polyposis syndrome, celiac disease, and those who have undergone CCE.
由于存在复杂的肠袢和较长的长度,观察整个小肠具有一定难度。胶囊内镜检查(CE)为可视化小肠和结肠提供了一种非侵入性且对患者友好的方法。小肠胶囊内镜检查(SBCE)通过直接观察整个小肠黏膜,在小肠疾病的诊断中发挥着关键作用,正成为小肠疾病的主要诊断工具。最近,对于结肠镜检查不完全且无肠梗阻的患者,结肠胶囊内镜检查(CCE)也被认为在获取足够的结肠图像方面是安全可行的。本文综述评估了CE在不明原因胃肠道出血患者、已知或疑似患有克罗恩病、小肠肿瘤和遗传性息肉病综合征、乳糜泻的患者以及接受过CCE的患者中的诊断率和SBCE的临床影响方面的现状。