Video capsule endoscopy in celiac disease.
Video capsule endoscopy (VCE) provides a safe, non-invasive way to visualize the small intestine and is helpful in celiac disease patients in select situations. VCE can be performed in patients who are unable or unwilling to undergo conventional endoscopy, those with positive celiac serology with normal duodenal biopsies, and also in those who develop alarm symptoms. VCE has limitations including subjective interpretation. Techniques are being developed to standardize assessment of VCE images in patients with known or suspected celiac disease. Pilot studies using computer-based quantification methods have shown promise in examining the 3-dimensional mucosal structure and motility.
Celiac Disease Center at Columbia University, Division of Digestive Diseases, Columbia University, New York, NY 10032, USA. ct2398@columbia.edu
Christina A
CA
Tennyson
Edward J
EJ
Ciaccio
Suzanne K
SK
Lewis
D053704:Capsule Endoscopy / Q000379:methods*; D002446:Celiac Disease / Q000473:pathology*; D006801:Humans; D007091:Image Processing, Computer-Assisted; D007421:Intestine, Small / Q000473:pathology*