title: An update on small bowel endoscopy.
abstract: OBJECTIVE
  The breakthrough success of capsule endoscopy and device-assisted enteroscopy has inspired researchers to test and push the boundary of these technologies. The authors herein summarize the latest and most significant studies with clinical impact.
  
  
  RESULTS
  Competing capsule endoscopy models have enriched the platform of this wireless device. The role of capsule endoscopy in Crohn's disease is expanding as we learn more of the significance of disease distribution and response to treatment. The benefit of capsule endoscopy in abdominal pain has previously been sceptical, but may have a role. Device-assisted enteroscopy demonstrates significant benefit in the management of patients with Crohn's disease and Peutz-Jeghers syndrome. On the contrary, long-term data suggest that endotherapy to small bowel angioectasia may not be as beneficial to patients as we once thought. The role of device-assisted enteroscopy in novel territory, including coeliac disease and endoscopic retrograde cholangiopancreatography, continues to be tested.
  
  
  CONCLUSIONS
  The limit of capsule endoscopy and enteroscopy is yet to be reached. Accumulating long-term data alludes to the benefits of our current practice while spawning novel indications for small bowel endoscopy.
authors.affiliation: Gastroenterology, Royal Hallamshire Hospital, Sheffield Teaching Hospitals, Sheffield, UK.
authors.forename: Hey-Long
authors.initials: HL
authors.lastname: Ching
authors.forename: Mark E
authors.initials: ME
authors.lastname: McAlindon
authors.forename: Reena
authors.initials: R
authors.lastname: Sidhu
mesh_terms: D000071087:Balloon Enteroscopy / Q000379:methods; D053704:Capsule Endoscopy / Q000009:adverse effects / Q000379:methods; D002446:Celiac Disease / Q000175:diagnosis; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D000075204:Contraindications, Procedure; D003424:Crohn Disease / Q000175:diagnosis; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis; D007421:Intestine, Small; D010580:Peutz-Jeghers Syndrome / Q000175:diagnosis