Small-bowel capsule endoscopy (SBCE)
 1 ESGE recommends that prior to SBCE patients ingest a purgative (2 L of polyethylene glycol [PEG]) for better visualization. Strong recommendation, high quality evidence. However, the optimal timing for taking purgatives is yet to be established. 2 ESGE recommends that SBCE should be performed as an outpatient procedure if possible, since completion rates are higher in outpatients than in inpatients. Strong recommendation, moderate quality evidence. 3 ESGE recommends that patients with pacemakers can safely undergo SBCE without special precautions. Strong recommendation, low quality evidence. 4 ESGE suggests that SBCE can also be safely performed in patients with implantable cardioverter defibrillators and left ventricular assist devices. Weak recommendation, low quality evidence. 5 ESGE recommends the acceptance of qualified nurses and trained technicians as prereaders of capsule endoscopy studies as their competency in identifying pathology is similar to that of medically qualified readers. The responsibility of establishing a diagnosis must however remain with the attending physician. Strong recommendation, moderate quality evidence. 6 ESGE recommends observation in cases of asymptomatic capsule retention. Strong recommendation, moderate quality evidence. In cases where capsule retrieval is indicated, ESGE recommends the use of device-assisted enteroscopy as the method of choice. Strong recommendation, moderate quality evidence. Device-assisted enteroscopy (DAE)
 1 ESGE recommends performing diagnostic DAE as a day-case procedure in patients without significant underlying co-morbidities; in patients with co-morbidities and/or those undergoing a therapeutic procedure, an inpatient stay is recommended. Strong recommendation, low quality evidence The choice between different settings also depends on sedation protocols. Strong recommendation, low quality evidence. 2 ESGE suggests that conscious sedation, deep sedation, and general anesthesia are all acceptable alternatives: the choice between them should be governed by procedure complexity, clinical factors, and local organizational protocols. Weak recommendation, low quality evidence. 3 ESGE recommends that the findings of previous diagnostic investigations should guide the choice of insertion route. Strong recommendation, moderate quality evidence. If the location of the small-bowel lesion is unknown or uncertain, ESGE recommends that the antegrade route should be generally preferred. Strong recommendation, low quality evidence. In the setting of massive overt bleeding, ESGE recommends an initial antegrade approach. Strong recommendation, low quality evidence. 4 ESGE recommends that, for balloon-assisted enteroscopy (i. e., single-balloon enteroscopy [SBE] and double-balloon enteroscopy [DBE]), small-bowel insertion depth should be estimated by counting net advancement of the enteroscope during the insertion phase, with confirmation of this estimate during withdrawal. Strong recommendation, low quality evidence. ESGE recommends that, for spiral enteroscopy, insertion depth should be estimated during withdrawal. Strong recommendation, moderate quality evidence. Since the calculated insertion depth is only a rough estimate, ESGE recommends placing a tattoo to mark the identified lesion and/or the deepest point of insertion. Strong recommendation, low quality evidence. 5 ESGE recommends that all endoscopic therapeutic procedures can be undertaken at the time of DAE. Strong recommendation, moderate quality evidence. Moreover, when therapeutic interventions are performed, additional specific safety measures are needed to prevent complications. Strong recommendation, high quality evidence.

/pdf/small-bowel-capsule-endoscopy-and-device-assisted-4dltzyt3z1.pdf

Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.

American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in familial adenomatous polyposis syndromes.

Wireless capsule endoscopy is a simple, non-invasive technique for the visualization of the entire small bowel. It was introduced in clinical praxis in 2001 and has already become the method of cho...

Capsule retention: a feared complication of wireless capsule endoscopy.

Affiliations 1 Innere Medizin II, HSK Wiesbaden, Lehrkrankenhaus der Johannes Gutenberg-Universität Mainz 2 Medizinische Klinik 1,Klinikum der Johann-Wolfgang-Goethe-Universität Frankfurt am Main 3 Klinik für Innere Medizin, Bethesda Krankenhaus Bergedorf, Hamburg, Lehrkrankenhaus der Universität Hamburg 4 Gastroenterologie Marienkrankenhaus, Kassel 5 Medizinische Klinik C, Klinikum der Stadt Ludwigshafen am Rhein, Lehrkrankenhaus der Johannes Gutenberg-Universität Mainz

Capsule endoscopy for the diagnosis of small bowel diseases. An updated statement by the endoscopy section of DGVS

Foreign Bodies, Bezoars, and Caustic Ingestions

epidermoid cyst of the knee (resected at the age of 15) and a gluteal epidermal cyst (resected at the age of 23) was refer− red to our service. She underwent a com− plete colon examination because she was suspected to have familial adenomatous polyposis (FAP). Colonoscopy showed several sessile polyps along the colon. Multiple polypeptomy was performed and histopathological examination re− vealed these lesions to be tubular adeno− mas with mild dysplasia. She went into a periodic endoscopic sur− veillance program until panproctocolect− omy and an ileal J−pouch reconstruction were completed. Multiple adenomatous polyps with mild dysplasia were found on examining the biopsies. The majority of the polyps could not be removed, and so she was started on celecoxib−based therapy. A complete response to this treatment was achieved after 6 months of treatment, and this was confirmed by endoscopy. She was referred to the Genetic Counsel− ling Unit and her work−up included ocu− lar fundus examination and a bone study, which were normal. Analysis of the APC gene in peripheral blood cells demon− strated a pathogenic mutation in exon 15. This mutation consists of a four−base deletion of CATT at codon 931. Capsule endoscopy reported no polyps or mucosal alterations along the small bowel. One year later, she required hospitaliza− tion because of intestinal pseudo−ob− struction. Abdominal radiography and endoscopy showed that the capsule had been retained in the reservoir, below the intestinal anastomosis and joined to one of the surgical staples (l" Fig. 1, 2). The capsule was successfully recovered by en− doscopy and the intestinal obstruction was relieved (l" Fig. 3). FAP is a hereditary colorectal syndrome with a dominant transmission and 100% penetrance [1]. However, in 20 % of cases there is no family history and the condi− tion results from a de novo mutation, as in the present case. Recently, clinical trials have demonstrated that capsule en− doscopy is a highly sensitive technique for detecting small−bowel pathology [2]. The technique has been studied mainly in inflammatory intestinal disease [3], and its application in the surveillance of patients with FAP has received relatively little attention. The detection of ileal polyps in patients with FAP could have an impact on their management, how− ever, and complications, such as retention of the capsule, are exceptional. Although capsule endoscopy provides a diagnosis of some potentially treatable diseases (by surgery, polypectomy, or sys− temic therapy) [4], we recommend that this procedure is used carefully.

/pdf/iatrogenic-intestinal-obstruction-a-rare-complication-of-2p91mb5592.pdf

Iatrogenic intestinal obstruction: a rare complication of capsule endoscopy in a patient with familial adenomatous polyposis.

Handle everyday research tasks with reliable, citation-backed results

Your personal Research Agent to handle research tasks with citation-backed results

Popular Tasks used by Researchers

How can I help with your research?

Meet SciSpace

Get more enhanced response by uploading the PDFs you want me to reference.

No relevant PDFs in your library

SciSpace is the AI research assistant for academics. Run systematic literature reviews on 280M+ papers, and write papers with cited sources. Trusted by 1M+ students, PhDs & researchers.

SciSpace | AI for Research

Analyze PDFs

Code & Manuscripts

Funding & Grants

Literature & Patents

Medical & Clinical Data

Systematic Review

Visualize & Present

Web & Data

Build a Google Scholar-like website for your research.

Build a website

Create charts and images for your research

Create a Chart

Write a paper for submission to a journal

Draft a manuscript

Patent Search

Design eye-catching scientific posters in minutes.

Scientific Poster Generation

Systematic Literature Review

One task is running at the moment. Your messages will be shown right after.

Drag and drop or click here to browse

Loved by <highlight>1 million+</highlight> researchers

Extract a list of specific topics and their sources from unstructured text

Topics

Compare and analyze relevant papers that matches with your search

Papers

Get insights from PDFs and bookmarked papers from your library

My library

Recent searches

Try searching for:

Catch AI-generated content in scholarly and non-scholarly content

{ai} Detector

Ai Writer

Get PDF Summaries, highlighted text explanations 

Chat with PDF

Effortlessly create in-text citations and bibliographies in APA and 2,500 other formats

Citation generator

Get explanations, summaries, and answers on academic papers

Ease up your research workflow with {scispace}'s cohort of exciting AI tools

Elevate your academic writing skills and convey your ideas the way you want

Paraphraser

Explore our range of reading and writing tools

Your file is being prepared and should be ready in a few minutes. If it's a large file, it might take a bit longer. You can close this window, and we'll email you the file when it's done.

You have reached a maximum limit of <strong>{limit}</strong> columns in the table. Remove at least <strong>1</strong> column to add or create another one.

R. Luque

Author Tools

Chat about Author

Papers

Iatrogenic intestinal obstruction: a rare complication of capsule endoscopy in a patient with familial adenomatous polyposis.