The impact of panenteric capsule endoscopy on the management of Crohn’s disease
Crohn’s disease (CD) is a chronic inflammatory disease, in most patients involving the small and large bowel. In recent years, with the use of small bowel video capsule endoscopy (SBCE), it has become clear that in 50% or more of adults with established CD there is not only distal but also proximal...
| Main Author: | |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2017-09-01
|
| Series: | Therapeutic Advances in Gastroenterology |
| Online Access: | https://doi.org/10.1177/1756283X17720860 |
| _version_ | 1818495937382711296 |
|---|---|
| author | Rami Eliakim |
| author_facet | Rami Eliakim |
| author_sort | Rami Eliakim |
| collection | DOAJ |
| description | Crohn’s disease (CD) is a chronic inflammatory disease, in most patients involving the small and large bowel. In recent years, with the use of small bowel video capsule endoscopy (SBCE), it has become clear that in 50% or more of adults with established CD there is not only distal but also proximal small bowel involvement that suggests poor prognosis. A great deal of effort has been put into early diagnosis and stratification of patients into low versus high risk, thus directing treatment from step-up, or accelerated step-up, to top-down therapies. SBCE has been used for assessment of small bowel pathologies for over 15 years, mainly for occult gastrointestinal bleeding and suspected CD. In recent years, a colonic capsule, with cameras on both sides and a wider angle of view, has been developed and is used by some to survey both small and large bowel. Recently the same capsule, with adjustments, has been released in Europe, concentrating (with specialized software) on inflammatory bowel disease. In this review I summarize the new data regarding the use of SBCE as well as the small bowel colon (SBC) versions of capsule endoscopy in established CD and the ways these could alter the management of such patients. |
| first_indexed | 2024-12-10T18:27:06Z |
| format | Article |
| id | doaj.art-b025def732d64f999661b4462b254839 |
| institution | Directory Open Access Journal |
| issn | 1756-283X 1756-2848 |
| language | English |
| last_indexed | 2024-12-10T18:27:06Z |
| publishDate | 2017-09-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Gastroenterology |
| spelling | doaj.art-b025def732d64f999661b4462b2548392022-12-22T01:38:04ZengSAGE PublishingTherapeutic Advances in Gastroenterology1756-283X1756-28482017-09-011010.1177/1756283X17720860The impact of panenteric capsule endoscopy on the management of Crohn’s diseaseRami EliakimCrohn’s disease (CD) is a chronic inflammatory disease, in most patients involving the small and large bowel. In recent years, with the use of small bowel video capsule endoscopy (SBCE), it has become clear that in 50% or more of adults with established CD there is not only distal but also proximal small bowel involvement that suggests poor prognosis. A great deal of effort has been put into early diagnosis and stratification of patients into low versus high risk, thus directing treatment from step-up, or accelerated step-up, to top-down therapies. SBCE has been used for assessment of small bowel pathologies for over 15 years, mainly for occult gastrointestinal bleeding and suspected CD. In recent years, a colonic capsule, with cameras on both sides and a wider angle of view, has been developed and is used by some to survey both small and large bowel. Recently the same capsule, with adjustments, has been released in Europe, concentrating (with specialized software) on inflammatory bowel disease. In this review I summarize the new data regarding the use of SBCE as well as the small bowel colon (SBC) versions of capsule endoscopy in established CD and the ways these could alter the management of such patients.https://doi.org/10.1177/1756283X17720860 |
| spellingShingle | Rami Eliakim The impact of panenteric capsule endoscopy on the management of Crohn’s disease Therapeutic Advances in Gastroenterology |
| title | The impact of panenteric capsule endoscopy on the management of Crohn’s disease |
| title_full | The impact of panenteric capsule endoscopy on the management of Crohn’s disease |
| title_fullStr | The impact of panenteric capsule endoscopy on the management of Crohn’s disease |
| title_full_unstemmed | The impact of panenteric capsule endoscopy on the management of Crohn’s disease |
| title_short | The impact of panenteric capsule endoscopy on the management of Crohn’s disease |
| title_sort | impact of panenteric capsule endoscopy on the management of crohn s disease |
| url | https://doi.org/10.1177/1756283X17720860 |
| work_keys_str_mv | AT ramieliakim theimpactofpanentericcapsuleendoscopyonthemanagementofcrohnsdisease AT ramieliakim impactofpanentericcapsuleendoscopyonthemanagementofcrohnsdisease |