Gut 2008;57:695-703
Recent advances in clinical practice
Recent developments in capsule endoscopy
Service Hépato-Gastroentérologie, Institut des Maladies de l’Appareil Digestif Nantes, CHU Nantes, F-44093 France; and Institut National de la Santé et de la Recherche Médicale, U913, CIC 0004, Nantes, F-44093 France
Professor J P Galmiche, Service Hépato-Gastroentérologie, Institut des Maladies de l’Appareil Digestif Nantes, CHU Nantes, F-44093 France; jeanpaul.galmiche@chu-nantes.fr
Received 7 December 2007Accepted 12 December 2007
| The first 150 words of the full text of this article appear below. |
Wireless capsule endoscopy (WCE) is a new technology that has been developed for investigation of the small bowel. Until recently, the small bowel was an organ which was difficult to explore, being largely blind to conventional endoscopic investigation. In routine practice only the last few centimetres of the ileum are accessible to retrograde exploration by ileocolonoscopy (IC). Investigation from the proximal side by push enteroscopy is a somewhat invasive procedure that usually does not allow the investigation of more than 60 cm of proximal jejunum. Small bowel WCE, therefore, represents a major advance; it is a safe, non-invasive procedure and many studies have established beyond doubt that it is cost-effective in a variety of clinical situations, including bleeding of obscure origin, detection of small bowel lesions in inflammatory bowel disease (IBD), non-steroidal anti-inflammatory drug enteropathies, and tumours. The context of using WCE to investigate the upper (oesophagus, stomach and duodenum)
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