title: Guideline for wireless capsule endoscopy in children and adolescents: A consensus document by the SEGHNP (Spanish Society for Pediatric Gastroenterology, Hepatology, and Nutrition) and the SEPD (Spanish Society for Digestive Diseases).
abstract: BACKGROUND
  Capsule Endoscopy (CE) in children has limitations based mainly on age. The objective of this consensus was reviewing the scientific evidence.
  
  
  METHODS
  Some experts from the Spanish Society of Gastroenterology (SEPD) and Spanish Society for Pediatric Gastroenterology, Hepatology, and Nutrition (SEGHNP) were invited to answer different issues about CE in children. These sections were: a) Indications, contraindications and limitations; b) efficacy of CE in different clinical scenarios; c) CE performance; d) CE-related complications; e) Patency Capsule; and f) colon capsule endoscopy. They reviewed relevant questions on each topic.
  
  
  RESULTS
  The main indication is Crohn's disease (CD). There is no contraindication for the age and in the event that the patient not to swallow it, it should be administered under deep sedation with endoscopy and specific device. The CE is useful in CD, for the management of OGIB in children and in Peutz-Jeghers syndrome (in this indication has the most effectiveness). The main complication is retention, which should be specially taken into account in cases of CD already diagnosed with malnutrition. A preparation regimen based on a low volume of polyethylene glycol (PEG) the day before plus simethicone on the same day is the best one in terms of cleanliness although does not improve the results of the CE procedure.
  
  
  CONCLUSIONS
  CE is safe and useful in children. Indications are similar to those of adults, the main one is CD to establish both a diagnosis and disease extension. Moreover, only few limitations are detected in children.
authors.affiliation: Digestivo, H. Universitarioa Virgen Macarena, España.
authors.forename: Federico
authors.initials: F
authors.lastname: Argüelles-Arias
authors.affiliation: Pediatría, Hospital la Fe, Valencia, España.
authors.forename: Ester
authors.initials: E
authors.lastname: Donat
authors.affiliation: Digestivo, Complejo Hospitalario de Navarra, España.
authors.forename: Ignacio
authors.initials: I
authors.lastname: Fernández-Urien
authors.affiliation: DIGESTIVO/ENDOSCOPIAS, Hospital Universitario Virgen de la Arrixaca. Murcia, España.
authors.forename: Fernando
authors.initials: F
authors.lastname: Alberca
authors.affiliation: Pediatría, Hospital Universitario Virgen Macarena, España.
authors.forename: Federico
authors.initials: F
authors.lastname: Argüelles-Martín
authors.affiliation: Pediatría, Hospital Niño Jesús, España.
authors.forename: María José
authors.initials: MJ
authors.lastname: Martínez
authors.affiliation: Pediatría, Hospital La Paz, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Molina
authors.affiliation: Pediatría, Hospital San Joan de Deu, España.
authors.forename: Vicente
authors.initials: V
authors.lastname: Varea
authors.affiliation: Aparato Digestivo, Hospital Universitario Virgen Macarena, España.
authors.forename: Juan Manuel
authors.initials: JM
authors.lastname: Herrerías-Gutiérrez
authors.affiliation: Pediatría, Hospital la Fe, España.
authors.forename: Carmen
authors.initials: C
authors.lastname: Ribes-Koninckx
mesh_terms: D000293:Adolescent; D053704:Capsule Endoscopy / Q000009:adverse effects / Q000379:methods; D002648:Child; D003106:Colon / Q000000981:diagnostic imaging; D000075202:Contraindications; D003424:Crohn Disease / Q000000981:diagnostic imaging*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging*; D010580:Peutz-Jeghers Syndrome / Q000000981:diagnostic imaging*