Bowel cleansing quality evaluation in colon capsule endoscopy: what is the reference standard?

Background: The diagnostic accuracy of colon capsule endoscopy (CCE) depends on a well-cleansed bowel. Evaluating the cleansing quality can be difficult with a substantial interobserver variation.

Objectives: Our primary aim was to establish a standard of agreement for bowel cleansing in CCE based on evaluations by expert readers.

KID Project: an internet-based digital video atlas of capsule endoscopy for research purposes.

Background And Aims:  Capsule endoscopy (CE) has revolutionized small-bowel (SB) investigation. Computational methods can enhance diagnostic yield (DY); however, incorporating machine learning algorithms (MLAs) into CE reading is difficult as large amounts of image annotations are required for training. Current databases lack graphic annotations of pathologies and cannot be used.

Capsule Endoscopy and Deep Enteroscopy in Irritable Bowel Disease.

In approximately one-third of Crohn's disease patients, the disease is confined to the small bowel, inaccessible to the reach of standard endoscopy. Thorough and complete evaluation of the small bowel is crucial in such patients for the initial diagnosis, prognostication, and disease monitoring. Video capsule endoscopy and device-assisted enteroscopy have revolutionized the ability to visualize the small-bowel mucosa.

Prediction of patency capsule retention in known Crohn's disease patients by using magnetic resonance imaging.

Background And Aims: Evaluation of small-bowel patency is recommended before swallowing video capsule endoscopy to prevent capsule retention. This study aimed to evaluate the ability of magnetic resonance enterography (MRE) to predict patency capsule (PC) retention in patients with Crohn's disease and to identify the most predictive imaging features for retention.

Methods: Fifty-seven patients prospectively underwent MRE and PC.

Video capsule endoscopy of the small bowel (PillCam SB).

Purpose Of Review: It is 4 years since capsule endoscopy was first introduced. This disposable 27 mm x 11 mm video capsule containing its own optical dome, light source, batteries, transmitter and antenna is swallowed with water after a 12 h fast. The capsule is propelled via peristalsis through the gastrointestinal tract, capturing about 60 000 digital images and is excreted naturally.