Mistakes in capsule endoscopy and how to avoid them

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Mistakes in capsule endoscopy and how to avoid them

Reena Sidhu, Cristina Carretero

Summary

AI Generated

Capsule endoscopy is a noninvasive technique using a swallowable wireless camera to visualize the gastrointestinal mucosa of the small bowel and/or colon.

The small-bowel capsule has one optical dome and is generally used in patients with suspected bleeding or to identify evidence of active Crohn's disease.
The colon capsule has two optical domes and a higher frame rate, and can be considered as an alternative to conventional colonoscopy, especially when the examination was incomplete.
A new capsule with two optical domes is designed for panendoscopic study of both the small bowel and colon.
The capsule design differs depending on the part of the gastrointestinal tract to be studied.

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Koulaouzidis A, Plevris JN. Detection of the ampulla of Vater in small bowel capsule endoscopy: Experience with two different systems. J Dig Dis 2012; 13: 621–627.

Pennazio M, Spada C, Eliakim R, et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2015; 47: 352–386.

Maiden L, Thjodleifsson B, Seigal A, et al. Long-Term Effects of Nonsteroidal Anti-Inflammatory Drugs and Cyclooxygenase-2 Selective Agents on the Small Bowel: A Cross- Sectional Capsule Enteroscopy Study. Clin Gastroenterol Hepatol 2007; 5: 1040–1045.

Sidhu R, Brunt LK, Morley SR, et al. Undisclosed use of nonsteroidal anti-inflammatory drugs may underlie small-bowel injury observed by capsule endoscopy. Clin Gastroenterol Hepatol 2010; 8: 992–995.

Liao Z, Gao R, Xu C, et al. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc 2010; 71: 280–286.

Rondonotti E, Koulaouzidis A, Karargyris A, et al. Utility of 3-dimensional image reconstruction in the diagnosis of small-bowel masses in capsule endoscopy (with video). Gastrointest Endosc 2014; 80: 642–651.

Shyung L-R, Lin S-C, Shih S-C, et al. Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy. J Formos Med Assoc 2009; 108: 533–538.

Girelli CM, Porta P, Colombo E, et al. Development of a novel index to discriminate bulge from mass on small-bowel capsule endoscopy. Gastrointest Endosc 2011; 74: 1067–1074.

Rodrigues JP, Pinho R, Rodrigues A, et al. Validation of SPICE, a method of differentiating small bowel submucosal lesions from innocent bulges on capsule endoscopy. Rev Esp Enfermedades Dig 2017; 109: 106–113.

10.

Yung DE, Koulaouzidis A, Avni T, et al. Clinical outcomes of negative small-bowel capsule endoscopy for small-bowel bleeding: a systematic review and meta-analysis. Gastrointestinal Endoscopy 2017; 85: 305-317.e2.

11.

Eliakim R, Yassin K, Niv Y, et al. Prospective multicenter performance evaluation of the second-generation colon capsule compared with colonoscopy. Endoscopy 2009; 41: 1026–1031.

12.

Van Gossum A, Munoz-Navas M, Fernandez-Urien I, et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009; 361: 264–270.

13.

Spada C, Hassan C, Munoz-Navas M, et al. Second-generation colon capsule endoscopy compared with colonoscopy. Gastrointest Endosc 2011; 74: 581-589.e1.

14.

Spada C, Hassan C, Galmiche JP, et al. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2012; 44: 527–536.

15.

Emanuele Rondonotti, Cristiano Spada, Samuel Adler, Andrea May EJD, Anastasios Koulaouzidis, Simon Panter, Dirk Domagk, Ignacio Fernandez-Urien GR, Maria Elena Riccioni, Jeanin E. van Hooft, Cesare Hassan MP. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review. Endoscopy 2018; 50: 423–446.

16.

Nemeth A, Kopylov U, Koulaouzidis A, et al. Use of patency capsule in patients with established Crohn’s disease. Endoscopy 2016; 48: 373–379.

Abstract

Capsule endoscopy is a noninvasive technique intended for studying the small bowel and/or colon. The capsule endoscope consists of a small, wireless, pill-sized camera that can be swallowed and allows direct visualization of the gastrointestinal mucosa. The design of the capsule differs depending on the part of the gastrointestinal tract to be studied. The small-bowel capsule has one optical dome and is generally used in patients who have suspected bleeding or to identify evidence of active Crohn’s disease. By contrast, the colon capsule has two optical domes, a higher frame rate and can be considered as an alternative to conventional colonoscopy, especially for cases when the examination was incomplete. There is also a new capsule with two optical domes that is designed for the panendoscopic study of both the small bowel and colon.

Topics

Endoscopy

Citation

Carretero C and Sidhu R. Mistakes in capsule endoscopy and how to avoid them. UEG Education 2018; 18: 21-23.

Published

2024

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Summary is not available for this content yet.

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Abstract

Topics

Digestive Oncology IBD

Published

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Mistakes in newly diagnosed Crohn's disease and how to avoid them

Joana Roseira, Nurulamin Noor

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References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Koulaouzidis A, Plevris JN. Detection of the ampulla of Vater in small bowel capsule endoscopy: Experience with two different systems. J Dig Dis 2012; 13: 621–627.

Liao Z, Gao R, Xu C, et al. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc 2010; 71: 280–286.

Shyung L-R, Lin S-C, Shih S-C, et al. Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy. J Formos Med Assoc 2009; 108: 533–538.

Girelli CM, Porta P, Colombo E, et al. Development of a novel index to discriminate bulge from mass on small-bowel capsule endoscopy. Gastrointest Endosc 2011; 74: 1067–1074.

10.

11.

Eliakim R, Yassin K, Niv Y, et al. Prospective multicenter performance evaluation of the second-generation colon capsule compared with colonoscopy. Endoscopy 2009; 41: 1026–1031.

12.

Van Gossum A, Munoz-Navas M, Fernandez-Urien I, et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009; 361: 264–270.

13.

Spada C, Hassan C, Munoz-Navas M, et al. Second-generation colon capsule endoscopy compared with colonoscopy. Gastrointest Endosc 2011; 74: 581-589.e1.

14.

Spada C, Hassan C, Galmiche JP, et al. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2012; 44: 527–536.

15.

16.

Nemeth A, Kopylov U, Koulaouzidis A, et al. Use of patency capsule in patients with established Crohn’s disease. Endoscopy 2016; 48: 373–379.

Abstract

Crohn’s disease (CD) is a chronic inflammatory bowel condition that can present with a wide range of intestinal and extra-intestinal manifestations. This condition can develop at any age and have a significant impact and impairment on quality of life for individuals including on relationships, educational attainment and work productivity. In particular, the time around and after diagnosis often involves the most upheaval for patients, and equally the biggest opportunity for effective intervention. Several recent advances have had a major impact on optimal management of patients with newly diagnosed CD. Here, we discuss the mistakes that are commonly made when managing patients presenting with a new diagnosis of CD. We summarise the evidence base and offer helpful and pragmatic tips for practising clinicians.

Topics

IBD

Citation

Roseira J and Noor N. Mistakes in newly diagnosed crohn's disease and how to avoid them. UEG Education 2025; 25: 18-23.

Published

2025

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UEG Mistakes In Articles

Share via Email Share on Facebook Share on X Share on LinkedIn Share on Bluesky

This content is part of Gutflix. Log in with your myUEG account, or create one free, to watch it.

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Mistakes in gastrostomy insertion and how to avoid them

Tom Welbank

Summary

AI Generated

Summary is not available for this content yet.

Download PDF

Was this helpful?

Thanks for your feedback.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Koulaouzidis A, Plevris JN. Detection of the ampulla of Vater in small bowel capsule endoscopy: Experience with two different systems. J Dig Dis 2012; 13: 621–627.

Liao Z, Gao R, Xu C, et al. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc 2010; 71: 280–286.

Shyung L-R, Lin S-C, Shih S-C, et al. Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy. J Formos Med Assoc 2009; 108: 533–538.

Girelli CM, Porta P, Colombo E, et al. Development of a novel index to discriminate bulge from mass on small-bowel capsule endoscopy. Gastrointest Endosc 2011; 74: 1067–1074.

10.

11.

Eliakim R, Yassin K, Niv Y, et al. Prospective multicenter performance evaluation of the second-generation colon capsule compared with colonoscopy. Endoscopy 2009; 41: 1026–1031.

12.

Van Gossum A, Munoz-Navas M, Fernandez-Urien I, et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009; 361: 264–270.

13.

Spada C, Hassan C, Munoz-Navas M, et al. Second-generation colon capsule endoscopy compared with colonoscopy. Gastrointest Endosc 2011; 74: 581-589.e1.

14.

Spada C, Hassan C, Galmiche JP, et al. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2012; 44: 527–536.

15.

16.

Nemeth A, Kopylov U, Koulaouzidis A, et al. Use of patency capsule in patients with established Crohn’s disease. Endoscopy 2016; 48: 373–379.

Abstract

Long-term enteral nutrition via gastrostomy is a relatively common medical intervention for patients at risk of malnutrition who have an accessible and functioning gastrointestinal tract. There are clear clinical guidelines describing the principles of practice as well as numerous retrospective and non-randomised controlled studies and case series. However, fewer publications impart advice and guidance regarding the management and ‘patient selection’ for these interventions. The following article provides a combination of the author’s views and the evidence base.

Topics

Small Intestine & Nutrition Stomach & H. Pylori

Citation

Welbank T, Mistakes in gastrostomy insertion ingestion and how to avoid them. UEG Education 2024; 24: 8-11.

Published

2024

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Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them

Apostolis Papaefthymiou, Cormac Magee, Rehan Jamil Haidry

Summary

AI Generated

Summary is not available for this content yet.

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Thanks for your feedback.

References

Mistakes

References

Mistake 1 Mistake 2 Mistake 3 Mistake 4 Mistake 5 Mistake 6 Mistake 7 Mistake 8 Mistake 9 Mistake 10

Koulaouzidis A, Plevris JN. Detection of the ampulla of Vater in small bowel capsule endoscopy: Experience with two different systems. J Dig Dis 2012; 13: 621–627.

Liao Z, Gao R, Xu C, et al. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc 2010; 71: 280–286.

Shyung L-R, Lin S-C, Shih S-C, et al. Proposed Scoring System to Determine Small Bowel Mass Lesions Using Capsule Endoscopy. J Formos Med Assoc 2009; 108: 533–538.

Girelli CM, Porta P, Colombo E, et al. Development of a novel index to discriminate bulge from mass on small-bowel capsule endoscopy. Gastrointest Endosc 2011; 74: 1067–1074.

10.

11.

Eliakim R, Yassin K, Niv Y, et al. Prospective multicenter performance evaluation of the second-generation colon capsule compared with colonoscopy. Endoscopy 2009; 41: 1026–1031.

12.

Van Gossum A, Munoz-Navas M, Fernandez-Urien I, et al. Capsule endoscopy versus colonoscopy for the detection of polyps and cancer. N Engl J Med 2009; 361: 264–270.

13.

Spada C, Hassan C, Munoz-Navas M, et al. Second-generation colon capsule endoscopy compared with colonoscopy. Gastrointest Endosc 2011; 74: 581-589.e1.

14.

Spada C, Hassan C, Galmiche JP, et al. Colon capsule endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2012; 44: 527–536.

15.

16.

Nemeth A, Kopylov U, Koulaouzidis A, et al. Use of patency capsule in patients with established Crohn’s disease. Endoscopy 2016; 48: 373–379.

Abstract

Barrett’s oesophagus is the precursor to oesophageal adenocarcinoma, which carries a poor prognosis, and it is likely that all endoscopists and gastroenterologists will encounter Barrett’s oesophagus in their clinical practice. Careful assessment and management of patients who have Barrett’s oesophagus with endoscopic surveillance and endoscopic endotherapy aim to reduce the risk of progression to invasive adenocarcinoma. Advances in endoscopic diagnosis and therapy should, therefore, help to reduce the risk of progression. As with all premalignant conditions and surveillance programmes, careful multidisciplinary management of the patient is important to reduce the risk of causing them to become unduly concerned. Here, we present some mistakes that in our experience are commonly made in the endoscopic diagnosis and management of Barrett’s oesophagus and give advice on how to avoid them.

Topics

Endoscopy Oesophagus

Citation

Haidry RJ and Magee C. Mistakes in the endoscopic diagnosis and management of Barrett’s oesophagus and how to avoid them. UEG Education 2018; 2018: 12–14.

Published

2024

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Abstract

Topics

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Published

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Summary

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Summary is not available for this content yet.

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Abstract

Topics

Endoscopy

Published

2025

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