ICCE Consensus for Inflammatory Bowel Disease

This summary represents the current consensus of opinions of the Inflammatory Bowel Disease (IBD) Working Group. We review here the current state of knowledge in comparing capsule endoscopy (CE) to other small-bowel imaging modalities. We address the challenges in studying CE in Crohn’s, and propose a design for a prospective study comparing CE to traditional diagnostic techniques, as well as other potential IBD studies.

References

• 1 Fireman Z, Mahajina E, Broide E. et al . Diagnosing small bowel Crohn’s disease with wireless capsule endoscopy.  Gut. 2003;  52 390-392
• 2 Herrerias J M, Caunedo A, Rodriguez-Tellez M. et al . Capsule endoscopy in patients with suspected Crohn’s disease and negative endoscopy.  Endoscopy. 2003;  35 564-568
• 3 Eliachim R, Fischer D, Suissa A. et al . Wireless capsule endoscopy is a superior diagnostic tool in comparison to barium follow through and computerized tomography in patients with suspected Crohn’s disease.  Eur J Gastroenterol Hepatol. 2003;  15 353-357
• 4 Sant’Anna A MGA, Dubois J, Miron M J, Seidman E G. Wireless capsule endoscopy for obscure small bowel disorders: final results of the first pediatric controlled trial.  Clin Gastroenterology Hepatol. 2005;  3 264-270
• 5 Mow W S, Lo S K, Targan S R. et al . Initial experience with wireless capsule enteroscopy in the diagnosis and management of inflammatory bowel disease.  Clin Gastroenterol Hepatol. 2004;  2 31-40
• 6 Buchman A L, Miller F, Wallin A. Videocapsule endoscopy: a blinded comparison to small bowel contrast study in the diagnosis of Crohn’s disease.  Gastroenterology. 2003;  124 AB 1355
• 7 Fleischer D E, Leighton J A, Sharma V K, Heigh R I. Video capsule endoscopy (VCE) is useful in the evaluation of unexplained abdominal pain [abstract].  Gastroenterology. 2003;  124 A 245
• 8 Bardan E, Nadler M, Chowers Y. et al . Capsule endoscopy for the evaluation of patients with chronic abdominal pain.  Endoscopy. 2003;  35 688-689
• 9 Triester S L, Leighton J A, Gurudu S R. et al . A meta-analysis of capsule endoscopy (CE) compared to other modalities in patients with non-stricturing small bowel Crohn disease (NSCD) [abstract].  Am J Gastroenterol. 2004;  99 S271-S272
• 10 Chong A KH, Taylor A, Miller A. et al . Capsule endoscopy vs. push enteroscopy and enteroclysis in suspected small-bowel Crohn’s disease.  Gastrointest Endosc. 2005;  61 255-261
• 11 Toth E, Fork F T, Almquist P. et al .Should capsule endoscopy be the first line imaging examination in patients with suspected small bowel Crohn’s disease? [Paper presented at ICCE 2004.] 
• 12 Eliakim R, Suissa A, Yassin K. et al . Wireless capsule video endoscopy compared to barium follow-through and computerized tomography in patients with suspected Crohn’s disease: final report.  Dig Liver Dis. 2004;  36 519-522
• 13 Hara A K, Leighton J A, Sharma V K. et al . Imaging of small bowel disease: comparison of capsule endoscopy, standard endoscopy, barium examination, and CT.  RadioGraphics. 2005;  25 697-711
• 14 Voderholzer W A, Ortner M, Rogalla P. et al . Diagnostic yield of wireless capsule enteroscopy in comparison with computed tomography enteroclysis.  Endoscopy. 2003;  35 1009-1014
• 15 Goelder S K, Schreyer A G. Comparison of capsule endoscopy and magnetic resonance (MR) enteroclysis in suspected small bowel disease.  Int J Colorectal Dis. 2005;  [in press]
• 16 Goldstein J L, Eisen G, Lewis B S. et al . Video capsule endoscopy to prospectively assess small bowel injury with celecoxib, naproxen plus omeprazole, and placebo.  Clin Gastroenterol Hepatol. 2005;  3 133-141
• 17 Scapa E, Jacob H, Lewkowicz S. et al . Initial experience of wireless-capsule endoscopy for evaluating occult gastrointestinal bleeding and suspected small bowel pathology.  Am J Gastroenterol. 2002;  97 2776-2779
• 18 Caunedo A, Rodriguez-Tellez M, Garcia-Montes J M. et al . Usefulness of capsule endoscopy in patients with suspected small bowel disease.  Rev Esp Enferm Dig. 2004;  96 10-21
• 19 Dubcenco E, Jeejeebhoy K N, Tang S J, Baker J P. The value of capsule endoscopy in the diagnosis and management of Crohn’s disease: report of two cases.  Gastrointest Endosc. 2004;  59 314-316
• 20 Arguelles-Arias F, Caunedo A, Romero J. et al . The value of capsule endoscopy in pediatric patients with a suspicion of Crohn’s disease.  Endoscopy. 2004;  36 869-873