期刊
FRONTIERS IN PEDIATRICS
卷 9, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fped.2021.664722
关键词
capsule endoscopy; pan-enteric capsule endoscopy; Crohn's disease; inflammatory bowel disease; small intestine; occult intestinal bleeding; capsule retention
类别
Capsule endoscopy is an important diagnostic tool for both pediatric and adult populations, with a higher diagnostic certainty in evaluating inflammatory bowel disease compared to radiographic studies and surrogate biomarkers. Newer capsule technologies present opportunities for expanding our understanding and practices, but further studies are needed to determine the best uses and candidate selection criteria.
Since its clearance for use throughout the world, capsule endoscopy (CE) has become an important diagnostic tool, helping us to understand and document both normal and abnormal findings in the small intestine, especially in children, since CE usually can be employed without sedation or radiation. The indications in children and adults are similar, though their relative frequencies are different, with evaluation of potential and known inflammatory bowel disease the most common in the pediatric population, with CE also yielding increased diagnostic certainty compared to radiographic studies and surrogate biomarkers. Newer capsules now create opportunities to expand that understanding and our practices so that we can learn when and how to employ CE and pan-enteric CE to better monitor and guide therapy. It will take further studies to determine the best uses for CE and how to select the appropriate candidates, especially with ongoing concern about capsule ingestion vs. placement, the potential for capsule retention (particularly in known Crohn's disease), still elusive optimal methods for bowel cleansing, and the most meaningful scoring for research and clinical use.
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