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The Role of Capsule Endoscopy in the Diagnosis of Crohn's Disease

  • Rhee, Kang-Won (Department of Pediatrics, School of Medicine, Pusan National University)
  • Received : 2012.03.12
  • Accepted : 2012.03.19
  • Published : 2012.03.30

Abstract

The examination of small bowel in Crohn's disease (CD) is very important. Capsule endoscopy (CE) has been recognized as a good tool for evaluation of small bowel. The capsule placement is achieved endoscopically for Children not to swallow capsule. CE is superior to any other modalities for examination of small-bowel. The large portion of pediatric patients with known CD were found with CE to have more extensive and newly diagnostic small-bowel disease. All of them had therapeutic changes. The most side effect of CE is capsule retention. The capsule retention rate in pediatric CD is about 7.3%. The patency capsule helps to predict the possibility of capsule retention. For the improving of the diagnostic accuracy, the experience of more than 20 readings of CE is needed.

Keywords

References

  1. Satsangi J, Silverberg MS, Vermeire S, Colombel JF. The Montreal classification of inflammatory bowel disease: controversies, consensus, and implications. Gut 2006;55:749-53.
  2. Sauer CG, Kugathasan S. Pediatric inflammatory bowel disease: highlighting pediatric differences in IBD. Gastroenterol Clin North Am 2009;38:611-28.
  3. Kim BJ, Song SM, Kim KM, Lee YJ, Rhee KW, Jang JY, et al. Characteristics and trends in the incidence of inflammatory bowel disease in Korean children: a single-center experience. Dig Dis Sci 2010;55:1989-95.
  4. Vernier-Massouille G, Balde M, Salleron J, Turck D, Dupas JL, Mouterde O, et al. Natural history of pediatric Crohn's disease: a population-based cohort study. Gastroenterology 2008;135:1106-13.
  5. Van Limbergen J, Russell RK, Drummond HE, Aldhous MC, Round NK, Nimmo ER, et al. Definition of phenotypic characteristics of childhood-onset inflammatory bowel disease. Gastroenterology 2008;135:1114-22.
  6. Park HJ, Lee SY, Ko JS, Seo JK. Usefulness of capsule endoscopy in children with suspected small bowel disease. Korean J Gastrointest Endosc 2009;39:346-51.
  7. Cohen SA, Gralnek IM, Ephrath H, Saripkin L, Meyers W, Sherrod O, et al. Capsule endoscopy may reclassify pediatric inflammatory bowel disease: a historical analysis. J Pediatr Gastroenterol Nutr 2008;47:31-6.
  8. Ko JS. Capsule endoscopy in children. Korean J Pediatr Gastroenterol Nutr 2010;13:1-6.
  9. Lim YJ, Moon JS, Chang DK, Jang BI, Chun HJ, Choi MG. Korean Society of Gastrointestinal Endoscopy (KSGE) guidelines for credentialing and granting previleges for capsule endoscopy. Korean J Gastrointest Endosc 2008;37:393-402.
  10. Kim HM, Kim YJ, Kim HJ, Park S, Park JY, Shin SK, et al. A pilot study of sequential capsule endoscopy using miroCam and pillCam SB devices with different transmission technologies. Gut Liver 2010;4:192-200.
  11. Ben-Soussan E, Savoye G, Antonietti M, Ramirez S, Ducrotte P, Lerebours E. Is a 2-liter PEG preparation useful before capsule endoscopy? J Clin Gastroenterol 2005;39:381-4.
  12. Albert J, Gobel CM, Lesske J, Lotterer E, Nietsch H, Fleig WE. Simethicone for small bowel preparation for capsule endoscopy: a systematic, single-blinded, controlled study. Gastrointest Endosc 2004;59:487-91.
  13. Fritscher-Ravens A, Scherbakov P, Bufler P, Torroni F, Ruuska T, Nuutinen H, et al. The feasibility of wireless capsule endoscopy in detecting small intestinal pathology in children under the age of 8 years: a multicentre European study. Gut 2009;58:1467-72.
  14. Barth BA, Donovan K, Fox VL. Endoscopic placement of the capsule endoscope in children. Gastrointest Endosc 2004;60:818-21.
  15. Bizzarri B, Fornaroli F, Cannizzaro R, de' Angelis N, Vincenzi F, Maffini V, et al. Endoscopic placement of video capsule in a pediatric population. Gastrointest Endosc 2005;62:991.
  16. Kim KJ, Kim KM, Kim SC, Cho YM, Rho EJ. A Case of Capsule Endoscopy in a 42-month-old Girl. Korean J Gastrointest Endosc 2008;36:92-6.
  17. Dionisio PM, Gurudu SR, Leighton JA, Leontiadis GI, Fleischer DE, Hara AK, et al. Capsule endoscopy has a significantly higher diagnostic yield in patients with suspected and established small-bowel Crohn's disease: a meta-analysis. Am J Gastroenterol 2010;105:1240-8.
  18. Jensen MK, Tipnis NA, Bajorunaite R, Sheth MK, Sato TT, Noel RJ. Capsule endoscopy performed across the pediatric age range: indications, incomplete studies, and utility in management of inflammatory bowel disease. Gastrointest Endosc 2010;72:95-102.
  19. Mehdizadeh S, Chen GC, Barkodar L, Enayati PJ, Pirouz S, Yadegari M, et al. Capsule endoscopy in patients with Crohn's disease: diagnostic yield and safety. Gastrointest Endosc 2010;71:121-7.
  20. Li F, Gurudu SR, De Petris G, Sharma VK, Shiff AD, Heigh RI, et al. Retention of the capsule endoscope: a single-center experience of 1000 capsule endoscopy procedures. Gastrointest Endosc 2008;68:174-80.
  21. Atay O, Mahajan L, Kay M, Mohr F, Kaplan B, Wyllie R. Risk of capsule endoscope retention in pediatric patients: a large single-center experience and review of the literature. J Pediatr Gastroenterol Nutr 2009;49:196-201.
  22. Liao Z, Gao R, Xu C, Li ZS. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc 2010;71:280-6.
  23. Cohen SA, Gralnek IM, Ephrath H, Stallworth A, Wakhisi T. The use of a patency capsule in pediatric Crohn's disease: a prospective evaluation. Dig Dis Sci 2011;56:860-5.