Clin Endosc.  2020 Jul;53(4):410-416. 10.5946/ce.2020.161.

Roles of Capsule Endoscopy and Device-Assisted Enteroscopy in the Diagnosis and Treatment of Small-Bowel Tumors

• Kim ER

• KMID: 2504944
• DOI: http://doi.org/10.5946/ce.2020.161

Abstract

With the development of capsule endoscopy (CE) and device-assisted enteroscopy (DAE), the incidence of small-bowel tumors has increased and the characteristics of these tumors have changed. In addition, the diagnostic and therapeutic approaches for small-bowel tumors have diversified. CE is a simple, noninvasive method that aid in the visualization the entire small bowel. CE is considered the initial approach for small-bowel tumors. DAE can be used to perform endoscopic procedures such as bleeding control, polypectomy, stent insertion, and tattooing, as well as for diagnosis through visualization or tissue sampling. Therapeutic intervention with DAE is particularly useful in polyposis syndromes such as familial adenomatous polyposis and Peutz-Jeghers syndrome. This review will discuss the roles of CE and DAE in the diagnosis and treatment of small-bowel tumors.

Keyword

Capsule endoscopy; Device-assisted enteroscopy; Familial adenomatous polyposis; Peutz-Jeghers syndrome; Smallbowel tumors

Figure

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  Fig. 1. Surveillance and polypectomy using capsule endoscopy and device-assisted enteroscopy in a patient with Peutz-Jeghers syndrome. (A, B) Surveillance capsule endoscopy images showing several polyps >10 mm in the jejunum. (C-E) Enteroscopic polypectomy using device-assisted enteroscopy.

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