Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice

The small bowel is the longest organ within the gastrointestinal tract. The emergence of small bowel capsule endoscopy (SBCE) over the last 20 years has revolutionized the investigation and diagnosis of small bowel pathology. Its utility as a non-invasive and well-tolerated procedure, which can be p...

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Autores principales:	Fintan O’Hara, Deirdre McNamara
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	small bowel capsule endoscopy Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/a97e8667d11b476a96e003570d242871
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spelling	oai:doaj.org-article:a97e8667d11b476a96e003570d2428712021-11-25T17:21:57ZSmall-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice10.3390/diagnostics111121392075-4418https://doaj.org/article/a97e8667d11b476a96e003570d2428712021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4418/11/11/2139https://doaj.org/toc/2075-4418The small bowel is the longest organ within the gastrointestinal tract. The emergence of small bowel capsule endoscopy (SBCE) over the last 20 years has revolutionized the investigation and diagnosis of small bowel pathology. Its utility as a non-invasive and well-tolerated procedure, which can be performed in an outpatient setting, has made it a valuable diagnostic tool. The indications for SBCE include obscure gastrointestinal bleeding, small bowel Crohn’s disease, and, less frequently for screening in polyposis syndromes, celiac disease, or other small bowel pathology. Currently, there are several small bowel capsules on the market from different manufacturers; however, they share many technological features. The European Society of Gastrointestinal Endoscopy (ESGE) only recently developed a set of key quality indicators to guide quality standards in this area. Many of the technical aspects of capsule endoscopy still feature a degree of uncertainty in terms of optimal performance. Incomplete studies due to slow transit through the bowel, poor imaging secondary to poor preparation, and the risk of capsule retention remain frustrations in its clinical utility. Capsule review is a time-consuming process; however, artificial intelligence and machine learning offer opportunities to improve this. This narrative review examines our current standing in a number of these aspects and the potential to further the application of SBCE in order to maximize its diagnostic utility.Fintan O’HaraDeirdre McNamaraMDPI AGarticlesmall bowelcapsuleendoscopyMedicine (General)R5-920ENDiagnostics, Vol 11, Iss 2139, p 2139 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	small bowel capsule endoscopy Medicine (General) R5-920
spellingShingle	small bowel capsule endoscopy Medicine (General) R5-920 Fintan O’Hara Deirdre McNamara Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
description	The small bowel is the longest organ within the gastrointestinal tract. The emergence of small bowel capsule endoscopy (SBCE) over the last 20 years has revolutionized the investigation and diagnosis of small bowel pathology. Its utility as a non-invasive and well-tolerated procedure, which can be performed in an outpatient setting, has made it a valuable diagnostic tool. The indications for SBCE include obscure gastrointestinal bleeding, small bowel Crohn’s disease, and, less frequently for screening in polyposis syndromes, celiac disease, or other small bowel pathology. Currently, there are several small bowel capsules on the market from different manufacturers; however, they share many technological features. The European Society of Gastrointestinal Endoscopy (ESGE) only recently developed a set of key quality indicators to guide quality standards in this area. Many of the technical aspects of capsule endoscopy still feature a degree of uncertainty in terms of optimal performance. Incomplete studies due to slow transit through the bowel, poor imaging secondary to poor preparation, and the risk of capsule retention remain frustrations in its clinical utility. Capsule review is a time-consuming process; however, artificial intelligence and machine learning offer opportunities to improve this. This narrative review examines our current standing in a number of these aspects and the potential to further the application of SBCE in order to maximize its diagnostic utility.
format	article
author	Fintan O’Hara Deirdre McNamara
author_facet	Fintan O’Hara Deirdre McNamara
author_sort	Fintan O’Hara
title	Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_short	Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_full	Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_fullStr	Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_full_unstemmed	Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice
title_sort	small-bowel capsule endoscopy—optimizing capsule endoscopy in clinical practice
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/a97e8667d11b476a96e003570d242871
work_keys_str_mv	AT fintanohara smallbowelcapsuleendoscopyoptimizingcapsuleendoscopyinclinicalpractice AT deirdremcnamara smallbowelcapsuleendoscopyoptimizingcapsuleendoscopyinclinicalpractice
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Small-Bowel Capsule Endoscopy—Optimizing Capsule Endoscopy in Clinical Practice

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