Capsule endoscopy - a non-invasive modality to investigate the GI tract: out with the old and in with the new?

Expert Rev Gastroenterol Hepatol

Academic Department of Gastroenterology, Royal Hallamshire Hospital, Sheffield, UK.

Published: July 2022

AI Article Synopsis

  • - Capsule endoscopy, since its introduction in 2000, is a non-invasive and well-tolerated method for examining the gastrointestinal tract, especially the small bowel, without the need for sedation.
  • - This review covers both new and traditional diagnostic methods for GI examination, with a primary focus on the advancements and applications of capsule endoscopy for a comprehensive examination of the entire digestive system.
  • - Expert opinions highlight that capsule endoscopy is now a standard first-line investigation for the small bowel, and its effectiveness in evaluating the colon is being validated, while new technologies for assessing the upper GI tract are also in development.

Article Abstract

Introduction: Capsule endoscopy has had significant development since it was introduced into the field of medicine in 2000. It is non-invasive, well tolerated, does not require sedation and is a first-line small bowel investigative modality. As it transits through the entire gastrointestinal (GI) tract, it has the potential to provide a pan-enteric examination.

Areas Covered: In this review we will discuss the new diagnostic modalities along with traditional methods which have been used for examination of the gastro intestinal (GI) tract. The main focus of this review will be on the use of capsule endoscopy for pan-enteric examination.

Expert Opinion: Capsule endoscopy is an accepted first-line investigation for the small bowel. Diagnostic sensitivity of the colon capsule is comparable to colonoscopy in controlled trials and is being evaluated in high-risk patients in routine clinical practice in national programs. Preliminary data suggest that a magnetic-controlled examination of the upper GI tract could be developed to enable a complete upper GI examination.

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Source
http://dx.doi.org/10.1080/17474124.2022.2089113DOI Listing

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