Small-bowel endoscopy

Introduction

Small-bowel endoscopy innovations in the past year have included increasing our understanding of the capabilities and limitations of capsule endoscopy (CE), and expanding the use of this technique [1] [2] [3]. Enough data have accumulated on the use of CE in Crohn’s disease (CD) to enable a meta-analysis to be carried out. In addition, knowledge and experience are evolving with double-balloon enteroscopy (DBE) [4] [5]. These two technologies may well complement each other in evaluating patients with suspected small-bowel pathologies [6].

References

• 1 Triester S L, Leighton J A, Leontiadis G I. et al . A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with non-stricturing small bowel Crohn’s disease.  Am J Gastroenterol. 2006;  101 954-964
• 2 Biagi F, Rondonotti E, Campanella J. et al . Video capsule endoscopy and histology for small-bowel mucosa evaluation: a comparison performed by blinded observers.  Clin Gastroenterol Hepatol. 2006;  4 998-1003
• 3 Lai L H, Wong G L, Chow D K. et al . Inter-observer variations on interpretation of capsule endoscopies.  Eur J Gastroenterol Hepatol. 2006;  18 283-286
• 4 Heine G D, Hadithi M, Kuipers E J. et al . Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease.  Endoscopy. 2006;  38 42-48
• 5 May A, Nachbar L, Schneider M. et al . Prospective comparison of push enteroscopy and push-and-pull enteroscopy in patients with suspected small-bowel bleeding.  Am J Gastroenterol. 2006;  101 2016-2024
• 6 Gay G, Delvaux M, Fassler I. Outcome of capsule endoscopy in determining indication and route for push-and-pull enteroscopy.  Endoscopy. 2006;  38 49-58
• 7 Costamagna G, Shah S K, Riccioni M E. et al . A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease.  Gastroenterology. 2002;  123 999-1005
• 8 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
• 9 Burgmann T, Clara I, Graff L. The Manitoba Inflammatory Bowel Disease Cohort Study: prolonged symptoms before diagnosis - how much is irritable bowel syndrome?.  Clin Gastroenterol Hepatol. 2006;  4 614-620
• 10 Goldstein J L, Eisen G M, Lewis B. 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
• 11 Signorelli C, Rondonotti E, Villa F. et al . Use of the Given Patency System for the screening of patients at high risk for capsule retention.  Dig Liver Dis. 2006;  38 326-330
• 12 Van Heel D A, West J. Recent advances in coeliac disease.  Gut. 2006;  55 1037-1046
• 13 Faigel D O, Baron T H, Adler D G. et al . ASGE guideline: guidelines for credentialing and granting privileges for capsule endoscopy.  Gastrointest Endosc. 2005;  61 503-505
• 14 Yamamoto H, Sekine Y, Sato Y. et al . Total enteroscopy with a nonsurgical steerable double-balloon method.  Gastrointest Endosc. 2001;  53 216-220