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Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice

The small bowel is the longest organ within the gastrointestinal tract. The emergence of small bowel capsule endoscopy (SBCE) over the last 20 years has revolutionized the investigation and diagnosis of small bowel pathology. Its utility as a non-invasive and well-tolerated procedure, which can be p...

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Autores principales: O’Hara, Fintan, McNamara, Deirdre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623858/
https://www.ncbi.nlm.nih.gov/pubmed/34829486
http://dx.doi.org/10.3390/diagnostics11112139
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author O’Hara, Fintan
McNamara, Deirdre
author_facet O’Hara, Fintan
McNamara, Deirdre
author_sort O’Hara, Fintan
collection PubMed
description The small bowel is the longest organ within the gastrointestinal tract. The emergence of small bowel capsule endoscopy (SBCE) over the last 20 years has revolutionized the investigation and diagnosis of small bowel pathology. Its utility as a non-invasive and well-tolerated procedure, which can be performed in an outpatient setting, has made it a valuable diagnostic tool. The indications for SBCE include obscure gastrointestinal bleeding, small bowel Crohn’s disease, and, less frequently for screening in polyposis syndromes, celiac disease, or other small bowel pathology. Currently, there are several small bowel capsules on the market from different manufacturers; however, they share many technological features. The European Society of Gastrointestinal Endoscopy (ESGE) only recently developed a set of key quality indicators to guide quality standards in this area. Many of the technical aspects of capsule endoscopy still feature a degree of uncertainty in terms of optimal performance. Incomplete studies due to slow transit through the bowel, poor imaging secondary to poor preparation, and the risk of capsule retention remain frustrations in its clinical utility. Capsule review is a time-consuming process; however, artificial intelligence and machine learning offer opportunities to improve this. This narrative review examines our current standing in a number of these aspects and the potential to further the application of SBCE in order to maximize its diagnostic utility.
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spelling pubmed-86238582021-11-27 Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice O’Hara, Fintan McNamara, Deirdre Diagnostics (Basel) Review The small bowel is the longest organ within the gastrointestinal tract. The emergence of small bowel capsule endoscopy (SBCE) over the last 20 years has revolutionized the investigation and diagnosis of small bowel pathology. Its utility as a non-invasive and well-tolerated procedure, which can be performed in an outpatient setting, has made it a valuable diagnostic tool. The indications for SBCE include obscure gastrointestinal bleeding, small bowel Crohn’s disease, and, less frequently for screening in polyposis syndromes, celiac disease, or other small bowel pathology. Currently, there are several small bowel capsules on the market from different manufacturers; however, they share many technological features. The European Society of Gastrointestinal Endoscopy (ESGE) only recently developed a set of key quality indicators to guide quality standards in this area. Many of the technical aspects of capsule endoscopy still feature a degree of uncertainty in terms of optimal performance. Incomplete studies due to slow transit through the bowel, poor imaging secondary to poor preparation, and the risk of capsule retention remain frustrations in its clinical utility. Capsule review is a time-consuming process; however, artificial intelligence and machine learning offer opportunities to improve this. This narrative review examines our current standing in a number of these aspects and the potential to further the application of SBCE in order to maximize its diagnostic utility. MDPI 2021-11-18 /pmc/articles/PMC8623858/ /pubmed/34829486 http://dx.doi.org/10.3390/diagnostics11112139 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
O’Hara, Fintan
McNamara, Deirdre
Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_full Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_fullStr Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_full_unstemmed Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_short Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_sort small-bowel capsule endoscopy—optimizing capsule endoscopy in clinical practice
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623858/
https://www.ncbi.nlm.nih.gov/pubmed/34829486
http://dx.doi.org/10.3390/diagnostics11112139
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