Intest Res.  2020 Jul;18(3):265-274. 10.5217/ir.2019.09165.

Capsule endoscopy in inflammatory bowel disease: when and how

Affiliations
  • 1Department of Medicine, University of Malaya Medical Centre, Kuala Lumpur, Malaysia
  • 2Center for Advanced IBD Research and Treatment, Kitasato University Kitasato Institute Hospital, Tokyo, Japan

Abstract

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.

Keyword

Capsule endoscopy; Crohn disease; Colitis, ulcerative; Inflammatory bowel disease
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