Saudi Journal of Gastroenterology

NEW HORIZONS
Year
: 2006  |  Volume : 12  |  Issue : 2  |  Page : 90--92

Video capsule endoscopy and the hidden gastrointestinal diseases


Ahmed Helmy 
 Department of liver transplanation, King Faisal Specialist Hospital & Research Center, Saudi Arabia

Correspondence Address:
Ahmed Helmy
Department of Liver Transplantation, MBC: 72, PO Box: 3354, Riyadh 11211
Saudi Arabia

Video capsule endoscopy (VCE) has recently been introduced to fill the gap between examinations of the upper and lower gastrointestinal tract, mainly to examine the small bowel (SB) for sources of obscure bleeding in addition to many other indications. VCE represents a minute endoscope, embedded in a swallowable capsule that is propelled by peristalsis and achieves the journey to the right colon in 5-8 hours. Images captured by the capsule are recorded on a hard drive attached to the patientSQs belt. Many studies have recently shown that the diagnostic yield of VCE is superior to that of push enteroscopy. This mini-review contains information on the technical aspects, indications, safety and tolerance of VCE. It is well known that radiological investigations of the small bowel (SB) have a limited diagnostic yield, are relatively invasive, and often lead to late discovery of diseases, especially malignancy and profuse bleeding, at a worse stage. Also, push enteroscopy is limited by the depth of the insertion of the instrument to the proximal jejunum and, in the retrograde, to the last 50-80 cm of the terminal ileum, with an ability to visualize the entire SB only in 10-70% of cases. Introduction of video capsule endoscopy (VCE) is therefore regarded a significant advance in investigating intestinal diseases, and closes the gap in evaluating the SB, DQthe black boxDQ of endoscopy(1). This mini-review describes the current indications of VCE and the prerequisites for accurate examination, and briefly discusses its tolerance and safety.


How to cite this article:
Helmy A. Video capsule endoscopy and the hidden gastrointestinal diseases.Saudi J Gastroenterol 2006;12:90-92


How to cite this URL:
Helmy A. Video capsule endoscopy and the hidden gastrointestinal diseases. Saudi J Gastroenterol [serial online] 2006 [cited 2021 Jan 25 ];12:90-92
Available from: https://www.saudijgastro.com/article.asp?issn=1319-3767;year=2006;volume=12;issue=2;spage=90;epage=92;aulast=Helmy;type=0