Use of capsule endoscopy for established Crohn's disease.
There remains significant uncertainty regarding the role of capsule endoscopy in the setting of known inflammatory bowel disease (IBD). Capsule endoscopy should be considered for patients who have indeterminate colitis, who are failing medical therapy or who may require colectomy, who have truly unexplained symptoms based on standard endoscopy and radiography, and who have IBD and obscure bleeding. Although capsule endoscopy clearly detects small bowel pathology with greater sensitivity than other methods, the implications of these lesions are not fully understood. At this time, use of capsule endoscopy as a tool for the evaluation of mucosal healing or for prognostication of post-operative recurrence remains investigational.
Legnani
Peter
P
Department of Medicine, Mount Sinai School of Medicine, One Gustav L. Levy Place, Box 1118, New York, NY 10029, USA. Peter.Legnani@mssm.edu
Abreu
Maria T
MT
D003424:Crohn Disease / Q000175:diagnosis*; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis*; D007413:Intestinal Mucosa / Q000473:pathology*; D007421:Intestine, Small / Q000473:pathology*; D008904:Miniaturization; D018579:Patient Selection; D014741:Video Recording / Q000295:instrumentation*