Kapselendoskopie für Dünn- und Dickdarm

Kernaussagen

Kapselendoskopiesysteme

• Mit der drahtlosen Kapselendoskopie ist heute die Darstellung der gesamten Dünndarm- und Dickdarmschleimhaut risikoarm möglich.

• Es sind mehrere Kapselendoskopiesysteme für die Dünndarmdarstellung von verschiedenen Herstellern auf dem Markt. Das verfügbare Kapselendoskopiesystem für die Kolondarstellung zeichnet sich durch längere Aufzeichnungsdauer und einen weiten optischen Winkel aus.

Indikationen

• Die Dünndarmkapselendoskopie ist für verschiedene Indikationen (u. a. obskure Gastrointestinalblutung, Eisenmangelanämie, Morbus Crohn) validiert und ist in der diagnostischen Abklärung etabliert.

• Der Stellenwert der Kolonkapselendoskopie wird derzeit in Studien untersucht und ist noch nicht abschließend geklärt. Einsatzbereiche sind die Detektion von Polypen, chronisch entzündliche Darmerkrankungen und Patienten nach inkompletter Koloskopie.

Kontraindikationen

• Eine bekannte Stenose des Gastrointestinaltraktes ist die wichtigste Kontraindikation der Kapselendoskopie. Bei Verdacht auf Stenosen kann mit der auflösbaren „Patency“-Kapsel die funktionelle Durchgängigkeit des Darmes vor dem Einsatz eines Kapselendoskopiesystems geprüft werden.

• Literatur

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