Open AccessCurrent role of capsule endoscopy in Crohn’s disease
Author(s) -
Marisol Luján-Sanchís,
Laura Sanchis-Artero,
Laura Larrey-Ruiz,
Laura Peño-Muñoz,
Paola Núñez-Martínez,
Génesis Castillo-López,
Lara González-González,
Carlos Boix Clemente,
Cecilia Albert Antequera,
Ana Durá-Ayet,
Javier Sempere-García-Argüelles
Publication year - 2016
Publication title -
world journal of gastrointestinal endoscopy
Language(s) - English
Resource type - Journals
ISSN - 1948-5190
DOI - 10.4253/wjge.v8.i17.572
Subject(s) - medicine , capsule endoscopy , crohn's disease , context (archaeology) , endoscopy , disease , clinical practice , intensive care medicine , gastroenterology , physical therapy , paleontology , biology
Capsule endoscopy (CE) currently plays an important role in Crohn's disease (CD). It is a noninvasive technique that has led to a breakthrough in the endoscopic diagnosis of diseases of the small intestine. Its superior diagnostic performance and excellent safety profile lead to its considerable acceptance on the part of the patient. This paper reviews current indications of CE in three stages of clinical practice: Suspected CD, unclassified colitis and its extensive role in diagnosed CD. The diagnostic and therapeutic impact of the results of CE on the monitoring of this disease is also reviewed. Knowledge of its applications, the interpretation of its results in an appropriate context and the existence of a validated endoscopic activity index could change the way in which these patients are managed. The definition of mucosal healing and postoperative recurrence by means of endoscopic scoring systems will endow CE with new applications in the management of CD in the near future.