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Capsule Endoscopy in the Evaluation of Crohn’s Disease

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Crohn's Disease

Abstract

Video capsule endoscope (VCE) has revolutionized the diagnostic evaluation of the small bowel by providing high-resolution colour images of the intestinal mucosa in areas previously inaccessible by standard endoscopic technologies. Despite its limitations, VCE continues to be the most sensitive diagnostic test for patients with presumed small bowel Crohn’s disease. In patients with established Crohn’s disease, VCE usually plays a complementary role to colonoscopy or radiology wherein it may provide additional information regarding disease extent, response to therapy, post-operative recurrence as well as the presence of occult strictures, which may elude radiological investigations. Although the risk of capsule retention remains a concern particularly in subjects with Crohn’s disease, VCE is a very safe diagnostic test with extremely small risk of adverse events in the vast majority of patients.

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  1. Division of Gastroenterology, IBD Center of Excellence, Digestive Disease Institute, Virginia Mason Medical Center, 1100 Ninth Ave, C3-GAS, Seattle, WA, 98101, USA

    Michael Chiorean MD

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  1. University Hospitals of Leicester NHS Trust, Leicester, United Kingdom

    Arumugam Rajesh

  2. Department of Radiology, Warwick Hospital, Warwick, United Kingdom

    Rakesh Sinha

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Chiorean, M. (2015). Capsule Endoscopy in the Evaluation of Crohn’s Disease. In: Rajesh, A., Sinha, R. (eds) Crohn's Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-01913-0_4

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