title: [When and how should small-bowel capsule endoscopy be used in children?]
abstract: Small-bowel capsule endoscopy (CE) has recently been used in children. During the past few years, an intense research activity has defined the advantages and limitations of CE. Its uses have been established in several small-bowel pathologies such as obvious or obscure digestive bleeding, Crohn disease, and hereditary polyposis. Although the absence of biopsy reduces the specificity of CE findings, small-bowel exploration using CE achieves better accuracy in detecting lesions than most radiological examinations. In children, swallowing problems and the risk of retention due to stenosis are the main concerns when using CE: these problems can be solved using endoscopic delivery of the capsule and luminal diameter calibration, respectively. This review focuses on the evidence making CE indispensable to small-bowel exploration.
authors.affiliation: Service des maladies digestives et respiratoires pédiatriques, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 48, boulevard Sérurier, 75019 Paris, France; Inserm UMR1149, université Paris Diderot, Sorbonne Paris Cité, 24, rue Henri-Huchard, 75018 Paris, France. Electronic address: jerome.viala@aphp.fr.
authors.forename: J
authors.initials: J
authors.lastname: Viala
authors.affiliation: Unité de gastro-entérologie, hépatologie et nutrition, pôle enfant, centre de référence des affections congénitales et malformatives de l'œsophage (CRACMO), hôpital Jeanne-de-Flandre, faculté de médecine, université Lille 2, 59000 Lille, France.
authors.forename: L
authors.initials: L
authors.lastname: Michaud
authors.affiliation: Service des maladies digestives et respiratoires pédiatriques, hôpital Robert-Debré, Assistance publique-Hôpitaux de Paris, 48, boulevard Sérurier, 75019 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Bellaiche
authors.affiliation: Service de gastro-entérologie hépatologie et nutrition pédiatrique, hospices civils de Lyon, HFME du CHU de Lyon, université Claude-Bernard Lyon 1, 69500 Bron, France.
authors.forename: A
authors.initials: A
authors.lastname: Lachaux
mesh_terms: D011125:Adenomatous Polyposis Coli / Q000175:diagnosis; D053704:Capsule Endoscopy / Q000379:methods*; D002648:Child; D003424:Crohn Disease / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis*; D007415:Intestinal Obstruction / Q000209:etiology; D007421:Intestine, Small; D012307:Risk Factors; D012680:Sensitivity and Specificity