Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/552
Title: Role of wireless capsule endoscopy in inflammatory bowel
Authors: Redondo-Cerezo, Eduardo
metadata.dc.contributor.authoraffiliation: [Redondo-Cerezo,E] Endoscopy Unit, Gastroenterology and Hepatology Department, The University Hospital Virgen de las Nieves, Granada. Spain
Keywords: Enfermedad de Crohn;Endoscopia Capsular;Intestino Delgado;Enfermedades Inflamatorias del Intestino;Colitis Ulcerosa;Wireless capsule endoscopy;Crohn’s disease;Ulcerative colitis;Inflammatory bowel disease
metadata.dc.subject.mesh: Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Colonic Diseases::Colitis::Colitis, Ulcerative
Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Inflammatory Bowel Diseases
Medical Subject Headings::Diseases::Digestive System Diseases::Gastrointestinal Diseases::Intestinal Diseases::Inflammatory Bowel Diseases::Crohn Disease
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Diagnostic Techniques, Surgical::Endoscopy::Endoscopy, Digestive System::Endoscopy, Gastrointestinal::Capsule Endoscopy
Issue Date: 16-May-2010
Publisher: Baishideng Publishing Group Co. Limited
Citation: Redondo-Cerezo E. Role of wireless capsule endoscopy in inflammatory bowel. World J Gastrointest Endosc. 2010 May 16;2(5):179-85
Abstract: Capsule endoscopy (CE) offers state-of-the-art imaging of the small bowel. In Crohn's disease its clinical role is still uncertain. This report analyses the usefulness of CE in patients with suspected Cronh's disease, in patients with established Crohn's disease (when assessing severity, occult gastrointestinal bleeding and/or as a guide to therapy), in patients with inflammatory bowel disease unclassified (IBDU), and in individuals with ulcerative colitis. The first item in this group is the most important although there is no strong evidence to establish the position of CE in the diagnostic workup. In patients with established Crohn's disease, recently developed activity scores are promising tools for an accurate assessment of severity. As a guide to therapy, CE should be focused on patients with unexplained symptoms when other investigations are inconclusive. In postoperative Crohn's Disease, international consensus recommended considering CE only if ileocolonoscopy is contraindicated or unsuccessful. In the case of IBDU, studies have shown a significant proportion of patients reclassified with Crohn's disease. In this setting, CE could have a role determining small bowel involvement. The role of CE in ulcerative colitis is limited. Some authors advocate CE before colectomy for refractory cases in order to exclude Crohn's disease. In summary, CE offers a new horizon in inflammatory bowel disease, and a better knowledge of mucosal abnormalities that could offer a paradigm shift: changing from symptom-based disease activity estimation to direct mucosal healing monitoring. Nevertheless, randomized controlled studies are still needed to provide stronger evidence in this setting.
Description: Journal Article;
URI: http://hdl.handle.net/10668/552
metadata.dc.relation.publisherversion: http://www.wjgnet.com/1948-5190/full/v2/i5/179.htm
metadata.dc.identifier.doi: 10.4253/wjge.v2.i5.179.
ISSN: 1948-5190 (Online)
Appears in Collections:01- Artículos - Hospital Virgen de las Nieves

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