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MINERVA GASTROENTEROLOGICA E DIETOLOGICA

A Journal on Gastroenterology, Nutrition and Dietetics


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Minerva Gastroenterologica e Dietologica 2010 December;56(4):437-49

language: English

Use of video capsule endoscopy in Crohn’s disease

Swaminath A., Kornbluth A.

1 Division of Digestive and Liver Disease, Department of Medicine, Columbia University Medical Center, New York, NY, USA;
2 The Henry D. Janowitz Division of Gastroenterology, Department of Medicine, The Mt. Sinai Medical Center, New York, NY USA


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Capsule endoscopy has been available since 2001 to image the small intestine, a boon to practitioners managing patients with inflammatory bowel disease. During the last ten years, new technologies have been developed, including computed tomographic enterography, magnetic resonance enterography, in addition to our standard small bowel follow through, all of which image the small bowel. This has created a situation in which multiple options are available to the gastroenterologist to image the small bowel, each with strengths. This review focuses on capsule endoscopy as it pertains to the imaging of the small bowel in patients with known or suspected Crohn’s disease. We will focus on comparative imaging data, how capsule endoscopy may aid in the prediction of disease type and course, the avoidance and meaning of capsule retention, along with cost considerations, and directions for the future.

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as3576@columbia.edu