Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
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Volume 15, Number 2, April 2022, pages 47-55

Video Capsule Endoscopy in Gastroenterology


Table 1. Indications, Contraindications and Complications of SBCE, CCE, and ECE
SBCE: small bowel capsule endoscopy; CCE: colon capsule endoscopy; ECE: esophageal capsule endoscopy; EGD: esophagogastroduodenoscopy; NSAIDs: non-steroidal anti-inflammatory drugs; GVHD: graft vs. host disease; CVID: common variable immunodeficiency disorder; PM: pacemaker; AICD: autoimplantable cardiac defibrillator; LVAD: left ventricular assist device; ASGE: American Society of Gastrointestinal Endoscopy.
SBCEObscure gastrointestinal bleeding and iron deficiency anemia when EGD and colonoscopy are negative. Known celiac disease with unexplained symptoms even after adequate treatment. Surveillance of patients with polyposis syndromes and small bowel tumors. Evaluation of NSAID-induced enteropathy. Evaluation of acute GVHD. Evaluation of extent of primary gastrointestinal lymphoma. Evaluation of patients with rare disorders like CVID, abetalipoproteinemia and intestinal lymphangiectasia.Small bowel stricture. Small bowel obstruction. Small bowel fistulae. Cardiac devices: PM, AICD, LVAD (relative contraindications as per ASGE). Pregnancy.Retention of the video capsule in the small bowel. Incomplete examination of the small bowel. Delayed transit. Poor quality images.
CCETo detect colon polyp only in patients with incomplete colonoscopy. Colon cancer screening in average-risk individuals as the third tier test every 5 years.Similar to those of SBCE.Similar to those of SBCE. Complications related to bowel prep.
ECEEvaluation of esophagitis, Barrett’s esophagus, esophageal cancer, and esophageal varices for patients who are unwilling or unable to have an endoscopy.Similar to those of SBCE. Dysphagia. Esophageal stricture.No known complication.