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Role of Video Capsule in Small Bowel Bleeding
This article reviews the risk factors for small bowel bleeding, optimal timing for video capsule endoscopy testing, and algorithms recommended for evaluation. Used primarily for the assessment of nonacute gastrointestinal blood loss, video capsule endoscopy has an emerging role for more urgent use in emergency settings and in special populations. Future software incorporation of neural networks to enhance lesion detection will likely result in an augmented role of video capsule endoscopy in small bowel bleeding. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Authors: Richard M. Wu, Laurel R. Fisher Source Type: research

The Role of Video Capsule Endoscopy in Liver Disease
In the setting of chronic liver disease, capsule endoscopy is safe and well tolerated, making it an appealing diagnostic procedure. It is used mainly for the surveillance of esophageal varices, investigation of anemia, and exploration of the small bowel for complications of portal hypertension. Capsule endoscopy is recognized as a viable alternative in patients unable or unwilling to undergo upper gastrointestinal endoscopy for investigations of esophageal varices. In evaluating the small bowel of patients with liver disease and unexplained anemia, capsule endoscopy increases recognition of mucosal abnormalities, although ...
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Authors: Alexander Ross Robertson, Anastasios Koulaouzidis, Emanuele Rondonotti, Mauro Bruno, Marco Pennazio Source Type: research

Novel Clinical Applications and Technical Developments in Video Capsule Endoscopy
This article summarizes new practical applications for capsule endoscopy outside the small intestine. From 2 randomized controlled trials, it is becoming clear that it has a role in the management of patients with hematemesis and nonhematemesis bleeding. Under active investigation are novel applications of capsule technology, including the potential ability to sample luminal contents or tissue, self-propelled capsules, incorporation of other imaging techniques beyond white light, such as ultrasound and fluorescents, and the possibility of drug delivery. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Authors: Shahrad Hakimian, Mark Hanscom, David R. Cave Source Type: research

The Role of Provocative Testing and Localization of the Video Capsule Endoscope in the Management of Small Intestinal Bleeding
This article describes the current understanding of SIB regarding evaluation, with emphasis on the use of video capsule endoscopy (VCE) as a diagnostic procedure. This article addresses the utility of provocative testing in challenging cases and the performance of endoscopic procedures on active antithrombotic therapy. Specific recommendations accompany this article, including use of antithrombotic agents to stimulate bleeding when clearly indicated; performance of endoscopic procedures on active antithrombotic therapy; and progressive adoption of VCE and device-assisted enteroscopy in the inpatient setting. (Source: Gastr...
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Authors: Daniel L. Raines, Douglas G. Adler Source Type: research

Video Capsule Endoscopy
GASTROINTESTINAL ENDOSCOPY CLINICS OF NORTH AMERICA (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Authors: David R. Cave Source Type: research

Copyright
ELSEVIER (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Source Type: research

Contributors
CHARLES J. LIGHTDALE, MD (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Source Type: research

Contents
Charles J. Lightdale (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Source Type: research

Forthcoming Issues
Gastric Cancer (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 18, 2021 Category: Gastroenterology Source Type: research

Role of Capsule Endoscopy in Inflammatory Bowel Disease
In Crohn disease (CD), the use of capsule endoscopy (CE) for suspected versus established disease is very different. Most patients with CD are diagnosed with ileocolonoscopy. In patients with a negative ileocolonoscopy, CE is the next best test in suspected CD. In patients with established CD, the potential benefits of CE are rating severity of disease, establishing extent and distribution, and following mucosal healing in a treat to target strategy. In those with proximal small bowel disease, CE can help in diagnosis and prognostication. In ulcerative colitis, CE has a limited role, but that may change with evolving techn...
Source: Gastrointestinal Endoscopy Clinics of North America - February 16, 2021 Category: Gastroenterology Authors: Josiah D. McCain, Shabana F. Pasha, Jonathan A. Leighton Source Type: research

Training, Reading, and Reporting for Small Bowel Video Capsule Endoscopy
Video capsule endoscopy (VCE) is an established modality for examining the small bowel. Formal training in interpretation and reporting of VCE examinations, along with assessment of performance metrics, is advocated for all gastroenterology fellowship programs. This review provides an overview of VCE minimum training requirements and competency assessment, cognitive and technical aspects of interpretation, and standardized reporting of findings. In order to optimize and advance the clinical utility of VCE, efforts must continue to promote and encourage consensus and standardization of training, definition and assessment of...
Source: Gastrointestinal Endoscopy Clinics of North America - February 15, 2021 Category: Gastroenterology Authors: Ariosto Hernandez-Lara, Elizabeth Rajan Source Type: research

Indications, Contraindications, and Considerations for Video Capsule Endoscopy
Video capsule endoscopy is indicated in a broad range of clinical settings, most commonly in evaluating suspected small bowel bleeding. It is also useful in diagnosing Crohn ’s disease and monitoring patients with known Crohn’s. Video capsule endoscopy has a role in evaluating patients with refractory celiac disease symptoms and in surveying patients with polyposis syndromes. The only absolute contraindication to video capsule endoscopy is luminal gastrointestinal t ract obstruction. Despite manufacturer statement, video capsule endoscopy can be used safely in patients with implantable cardiac devices including pacemak...
Source: Gastrointestinal Endoscopy Clinics of North America - February 15, 2021 Category: Gastroenterology Authors: Jacquelyn G. Bolwell, Daniel Wild Source Type: research

Video Capsule Endoscopy Beyond the Gastrointestinal Suite
Video capsule endoscopy has been proven to be a beneficial tool to inspect the gastrointestinal lumen but its true impact may lie in utilization outside of traditional gastroenterology settings such as in the emergency room, the intensive care unit, and outpatient settings. Some advantages of video capsule endoscopy are that its administration does not require special training, patients do not require anesthesia, and videos can be shared with off-site consultants. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - February 15, 2021 Category: Gastroenterology Authors: Joel Lange, Arooj Shah, Andrew C. Meltzer Source Type: research

Timing and Use of Capsule Endoscopy in the Acute Care Setting
Video capsule endoscopy (VCE) is a crucial adjunct to conventional endoscopy in small intestinal bleeding, with a high positive and negative predictive value. Timing is critical in VCE, with earlier deployment associated with improved diagnostic yield. VCE is also useful as a first-line diagnostic modality in the evaluation of acute gastrointestinal bleeding, with accumulating evidence demonstrating expedited VCE can increase diagnostic yield, reduce unneeded admissions, and overall improve patient care. In resource-limited settings, first-line VCE also can reduce unneeded procedures and protect staff from dangerous exposu...
Source: Gastrointestinal Endoscopy Clinics of North America - February 15, 2021 Category: Gastroenterology Authors: Mark Hanscom, Anupam Singh Source Type: research

Role of Video Capsule Endoscopy as a Prelude to Deep Enteroscopy
This article aims to focus on the role of video capsule endoscopy as a prelude to deep enteroscopy with a focus on the strengths and limitations of either approach. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - February 15, 2021 Category: Gastroenterology Authors: Dejan Micic, Carol E. Semrad Source Type: research