title: Capsule endoscopy in patients refusing conventional endoscopy.
abstract: Capsule endoscopy is nowadays the diagnostic technique of choice in the study of small bowel pathologies, allowing the non-invasive study of the entire mucosa. This has led, together with new technical advances, to the creation of two new models (PillCam ESO and PillCam Colon) for the study of esophageal and colonic diseases. These two new capsules offer an interesting alternative to conventional endoscopy in the study of the upper and lower digestive tracts, because traditional endoscopy is often unpleasant and uncomfortable for the patient, can be painful, often requires moderate or deep sedation and is not without complications (hemorrhage, perforation, etc.). PillCam Colon is particularly important for its usefulness in the diagnosis of colonic polyps, and is a potentially useful tool in cases of incomplete colonoscopy or in colorectal cancer screening, even more when most patients are reluctant to undergo screening programs due to the said disadvantages of conventional colonoscopy. This article discusses the advantages of capsule endoscopy over conventional endoscopy, its current application possibilities and indications in routine clinical practice. In the various sections of the work, we assess the application of endoscopic capsule in different sections of the digestive tract (esophagus, stomach, and colon) and finally the potential role of panendoscopy with PillCam Colon.
authors: Javier Romero-Vázquez, Federico Argüelles-Arias, Josefa Maria García-Montes, Ángel Caunedo-Álvarez, Francisco Javier Pellicer-Bautista, Juan Manuel Herrerías-Gutiérrez, Gastroenterology Service, Virgen Macarena University Hospital, 41071 Seville, Spain.
authors: Javier
authors: J
authors: Romero-Vázquez
authors: Javier Romero-Vázquez, Federico Argüelles-Arias, Josefa Maria García-Montes, Ángel Caunedo-Álvarez, Francisco Javier Pellicer-Bautista, Juan Manuel Herrerías-Gutiérrez, Gastroenterology Service, Virgen Macarena University Hospital, 41071 Seville, Spain.
authors: Federico
authors: F
authors: Argüelles-Arias
authors: Javier Romero-Vázquez, Federico Argüelles-Arias, Josefa Maria García-Montes, Ángel Caunedo-Álvarez, Francisco Javier Pellicer-Bautista, Juan Manuel Herrerías-Gutiérrez, Gastroenterology Service, Virgen Macarena University Hospital, 41071 Seville, Spain.
authors: Josefa Maria
authors: JM
authors: García-Montes
authors: Javier Romero-Vázquez, Federico Argüelles-Arias, Josefa Maria García-Montes, Ángel Caunedo-Álvarez, Francisco Javier Pellicer-Bautista, Juan Manuel Herrerías-Gutiérrez, Gastroenterology Service, Virgen Macarena University Hospital, 41071 Seville, Spain.
authors: Ángel
authors: Á
authors: Caunedo-Álvarez
authors: Javier Romero-Vázquez, Federico Argüelles-Arias, Josefa Maria García-Montes, Ángel Caunedo-Álvarez, Francisco Javier Pellicer-Bautista, Juan Manuel Herrerías-Gutiérrez, Gastroenterology Service, Virgen Macarena University Hospital, 41071 Seville, Spain.
authors: Francisco Javier
authors: FJ
authors: Pellicer-Bautista
authors: Javier Romero-Vázquez, Federico Argüelles-Arias, Josefa Maria García-Montes, Ángel Caunedo-Álvarez, Francisco Javier Pellicer-Bautista, Juan Manuel Herrerías-Gutiérrez, Gastroenterology Service, Virgen Macarena University Hospital, 41071 Seville, Spain.
authors: Juan Manuel
authors: JM
authors: Herrerías-Gutiérrez
mesh_terms: D053705:Capsule Endoscopes; D053704:Capsule Endoscopy / Q000009:adverse effects / Q000295:instrumentation; D020685:Colonoscopes; D003113:Colonoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D004867:Equipment Design; D020701:Esophagoscopes; D004945:Esophagoscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D020699:Gastroscopes; D005773:Gastroscopy / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010361:Patients / Q000523:psychology*; D011237:Predictive Value of Tests; D016312:Treatment Refusal
keywords: Capsule endoscopy; Colon capsule endoscopy; Conventional endoscopy; Esophageal capsule endoscopy; Panendoscopy