The Usefulness of Capsule Endoscopy for Small Bowel Tumors

Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically significant diagnoses of VCE, often requiring subsequent invasive i...

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Main Authors:	Cheung, Dae Young, Kim, Jin Su, Shim, Ki-Nam, Choi, Myung-Gyu
Format:	Online
Language:	English
Published:	The Korean Society of Gastrointestinal Endoscopy 2016
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743724/

id	pubmed-4743724
recordtype	oai_dc
spelling	pubmed-47437242016-02-05 The Usefulness of Capsule Endoscopy for Small Bowel Tumors Cheung, Dae Young Kim, Jin Su Shim, Ki-Nam Choi, Myung-Gyu Focused Review Series: Current Issues and Future Directions of Small Bowel Endoscopic Evaluation Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically significant diagnoses of VCE, often requiring subsequent invasive interventions. Small bowel tumors are detected with a frequency of around 4% with VCE in indications of OGIB, iron deficiency anemia, unexplained abdominal pain, and others. Protruding mass with bleeding, mucosal disruption, irregular surface, discolored area, and white villi are suggested as the VCE findings of small bowel tumor. Device assisted enteroscopy (DAE), computed tomography enteroclysis/enterography and magnetic resonance enteroclysis/enterography also have clinical value in small bowel examination and tumor detection, and they can be used with VCE, sequentially or complementarily. Familial adenomatous polyposis, Peutz-Jeghers syndrome, melanoma, lymphoma, and neuroendocrine tumor with hepatic metastasis are the high risk groups for small bowel tumors, and surveillance programs for small bowel tumors are needed. VCE and radiological imaging have value in screening, and in selected cases, DAE can provide more accurate diagnosis and endoscopic treatment. This review describes the usefulness and clinical impact of VCE on small bowel tumors. The Korean Society of Gastrointestinal Endoscopy 2016-01 2016-01-28 /pmc/articles/PMC4743724/ /pubmed/26855919 http://dx.doi.org/10.5946/ce.2016.49.1.21 Text en Copyright © 2016 Korean Society of Gastrointestinal Endoscopy This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Cheung, Dae Young Kim, Jin Su Shim, Ki-Nam Choi, Myung-Gyu
spellingShingle	Cheung, Dae Young Kim, Jin Su Shim, Ki-Nam Choi, Myung-Gyu The Usefulness of Capsule Endoscopy for Small Bowel Tumors
author_facet	Cheung, Dae Young Kim, Jin Su Shim, Ki-Nam Choi, Myung-Gyu
author_sort	Cheung, Dae Young
title	The Usefulness of Capsule Endoscopy for Small Bowel Tumors
title_short	The Usefulness of Capsule Endoscopy for Small Bowel Tumors
title_full	The Usefulness of Capsule Endoscopy for Small Bowel Tumors
title_fullStr	The Usefulness of Capsule Endoscopy for Small Bowel Tumors
title_full_unstemmed	The Usefulness of Capsule Endoscopy for Small Bowel Tumors
title_sort	usefulness of capsule endoscopy for small bowel tumors
description	Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically significant diagnoses of VCE, often requiring subsequent invasive interventions. Small bowel tumors are detected with a frequency of around 4% with VCE in indications of OGIB, iron deficiency anemia, unexplained abdominal pain, and others. Protruding mass with bleeding, mucosal disruption, irregular surface, discolored area, and white villi are suggested as the VCE findings of small bowel tumor. Device assisted enteroscopy (DAE), computed tomography enteroclysis/enterography and magnetic resonance enteroclysis/enterography also have clinical value in small bowel examination and tumor detection, and they can be used with VCE, sequentially or complementarily. Familial adenomatous polyposis, Peutz-Jeghers syndrome, melanoma, lymphoma, and neuroendocrine tumor with hepatic metastasis are the high risk groups for small bowel tumors, and surveillance programs for small bowel tumors are needed. VCE and radiological imaging have value in screening, and in selected cases, DAE can provide more accurate diagnosis and endoscopic treatment. This review describes the usefulness and clinical impact of VCE on small bowel tumors.
publisher	The Korean Society of Gastrointestinal Endoscopy
publishDate	2016
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743724/
_version_	1613534752350928896

The Usefulness of Capsule Endoscopy for Small Bowel Tumors

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