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Colon capsule endoscopy for inflammatory bowel disease
Authors:Jiao Li  Wai K Leung
Institution:1. Department of Medicine, University of Hong Kong, Hong Kong, China;2. Department of Gastroenterology, Third People's Hospital of Chengdu, Chengdu, Sichuan Province, China
Abstract:Colon capsule endoscopy (CCE) is designed for direct visualization of the colonic mucosa through passive propulsion. The role of CCE in the detection of colonic polyps has been extensively evaluated. As mucosal healing has emerged as a pivotal target for treatment of inflammatory bowel disease (IBD), there is increasing data to suggest that CCE can also be used in the monitoring of mucosal inflammation in patients with active IBD, particularly in ulcerative colitis (UC) and Crohn's disease (CD). Despite advantages such as its non‐invasive nature, patient's comfort, safety, and access to anatomical regions not easily reached by conventional endoscopy, CE has limitations including the lack of ability to obtain biopsies or therapeutic capabilities and no control over movement. In this review, the role and diagnostic value of CCE on diagnosis and monitoring of UC and CD patients, its safety and limitations are discussed.
Keywords:capsule endoscopy  colonoscopy  Crohn disease  inflammatory bowel diseases  ulcerative colitis
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