TRANSMISION DE FOTOGRAFIAS INTESTINALES A TRAVES DE LA CAMARA ENDOSCOPICA INALAMBRICA





TRANSMISION DE FOTOGRAFIAS INTESTINALES A TRAVES DE LA CAMARA ENDOSCOPICA INALAMBRICA

(especial para SIIC © Derechos reservados)
Las enfermedades del intestino delgado pueden ser diagnosticadas a través de imágenes enviadas por una endocámara inalámbrica que progresa en forma autónoma por dentro de la luz del órgano, impulsada por el peristaltismo.
kopelman9.jpg Autor:
Yael Kopelman
Columnista Experto de SIIC

Institución:
Department of Gastroenterology, Hillel Yaffe Medical Center


Artículos publicados por Yael Kopelman
Recepción del artículo
28 de Marzo, 2006
Aprobación
3 de Abril, 2006
Primera edición
17 de Julio, 2006
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
La cápsula endoscópica (CE) fue presentada a la comunidad médica hace 6 años como procedimiento videoasistido de diagnóstico por imágenes para el intestino delgado. Ha adquirido un papel importante para la evaluación de entidades patológicas de ese tramo del aparato digestivo, tales como hemorragia de diagnóstico desconocido, enfermedad celíaca, enfermedad de Crohn, lesiones de la mucosa intestinal debidas al uso prolongado de antiinflamatorios no esteroides, pólipos y tumores varios. La CE es útil para el monitoreo de los pacientes a quienes les fuera trasplantado el intestino delgado, a fin de detectar tempranamente posibles complicaciones, así como para evaluar la integridad del injerto. La CE esofágica resultó ser un método conveniente, efectivo y seguro para estudiar pacientes con esofagopatías. La CE tiene aún algunas limitaciones técnicas y visuales. No provee diagnóstico histológico ni permite ejercer maniobras terapéuticas. Existen todavía limitaciones debidas al costo elevado y a la falta de reconocimiento de reintegros. La cápsula podría quedar retenida en el tracto gastrointestinal, y en tal caso requeriría remoción quirúrgica o endoscópica. Las enfermedades que pueden producir esa retención incluyen estrecheces benignas o adherencias, estenosis por Crohn y lesiones tales como carcinoides o adenomas. Está contraindicada en el embarazo, en pacientes con estenosis del intestino delgado presumibles o conocidas, y antecedentes de cirugía mayor abdominal o disfagia. La futura cápsula ideal podría extender sus capacidades diagnósticas a todo el tracto gastrointestinal, si llevara varios detectores y sensores, y hasta podría adquirir potencialidades terapéuticas.

Palabras clave
cápsula, endoscopia, intestino delgado, diagnóstico por imágenes


Artículo completo

(castellano)
Extensión:  +/-8.43 páginas impresas en papel A4
Exclusivo para suscriptores/assinantes

Abstract
Capsule endoscopy (CE) was presented to the medical world six years ago as a diagnostic video imaging modality for the small bowel. CE has gained an important role as an integral part of the evaluation of small bowel pathologies such as: obscure GI bleeding, Crohn's disease, celiac disease, small intestinal mucosal injuries due to chronic NSAID use, polyps and various tumors. CE serves as an efficient diagnostic tool also for the pediatric population. CE is useful in monitoring small bowel transplanted patients for the early detection of post transplant complications and for the assessment of graft integrity. The Esophageal Capsule Endoscopy was found to be convenient, sensitive, effective and safe method to evaluate patients for esophageal disease. CE still has some technical and visual limitations. It does not provide tissue diagnosis nor therapeutic options. Cost and reimbursement limitations still exist. The capsule may be retained in the GI tract, and may require endoscopic or surgical removal. Pathologies that may cause retention include benign strictures or adhesions, Crohn's strictures, and lesions as carcinoid tumor, or adenomas. CE is contraindicated in pregnancy, in patients with known or suspected small bowel stricture, previous major abdominal surgery or dysphagia. The future ideal capsule should expand its diagnostic capabilities to the entire gastrointestinal tract, carrying various detectors and sensors and may be even therapeutic potential.

Key words
capsule, endoscopy, small bowel, imaging


Full text
(english)
para suscriptores/ assinantes

Clasificación en siicsalud
Artículos originales > Expertos del Mundo >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Gastroenterología
Relacionadas: Diagnóstico por Imágenes, Medicina Interna



Comprar este artículo
Extensión: 8.43 páginas impresas en papel A4

file05.gif (1491 bytes) Artículos seleccionados para su compra



Enviar correspondencia a:
Yael Kopelman, Department of Gastroenterology, Hillel Yaffe Medical Center, 38100, P.O. Box 169, Hadera, Israel
Bibliografía del artículo
1. Iddan G, Meron G, Glukhovsky A, Swain P. Wireless capsule endoscopy. Nature 2000; 405(6785):417.
2. Lewis BS, Swain P. Capsule endoscopy in the evaluation of patients with suspected small intestinal bleeding results of a pilot study. Gastrointest Endosc 2002; 56:349-53.
3. Mylonaki M, Fritscher-Ravens A, Swain P. Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding. Gut 2003; 502:1122-6.
4. Triester SL, Leighton JA, Leontiadis GI, Fleischer DE, Hara AK, Heigh RI, Shiff AD, Sharma VK. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding. Am J Gastroenterol 2005; 100(11):2407-18.
5. Fireman Z. The light from the beginning to the end of the tunnel. Gastroenterology 2004; 126(3):914-6.
6. Pennazio M, Santucci R, Rondonotti E,Abbiati C, Beccari G, Rossini FP, de Franchis R. Out come of patients with obscure gastrointestinal bleeding after capsule endoscopy: Report of 100 consecutive cases. Gastroenterology 2004; 126(3):643-53.
7. Bresci G, Parisi G, Bertoni M, Tumino E, Capria A. The role of video capsule endoscopy for evaluating obscure gastrointestinal bleeding: usefulness of early use. Gastroenterol 2005; 40(3):256-9.
8. Fireman Z, Friedman S. Diagnostic yield of capsule endoscopy in obscure gastrointestinal bleeding. Digestion 2004; 70(3):201-6.
9. Tatar EL, Shen EH, Palance AL, Sun JH, Pitchumoni CS. Clinical utility of wireless capsule endoscopy: experience with 200 cases. J Clin Gastroenterol 2006; 40(2):140-4.
10. Fireman Z, Kopelman Y. The role of video capsule endoscopy in the evaluation of iron deficiency anaemia. Dig Liver Dis 2004; 36(2):97-102.
11. Fireman Z, Mahajna E, Broide E, Shapiro M, Fich L, Sternberg A, Kopelman Y, Scapa E. Diagnosing small bowel Crohn's disease with wireless capsule endoscopy. Gut 2003; 52(3):390-2.
12. Goldfarb NI, Pizzi LT, Fuhr JP Jr, Salvador C, Sikirica V, Kornbluth A, Lewis B. Diagnosing Crohn's disease: an economic analysis comparing wireless capsule endoscopy with traditional diagnostic procedures. Dis Manag 2004; 7(4):292-304.
13. Hara AK, Leighton JA, Heigh RI, Sharma VK, Silva AC, De Petris G, Hentz JG, Fleischer DE Crohn disease of the small bowel: preliminary comparison among CT enterography, capsule endoscopy, small-bowel follow- through, and ileoscopy. Radiology 2006; 238(1):128-34.
14. Marmo R, Rotondano G, Piscopo R, Bianco MA, Siani A, Catalano O, Cipolletta L. Capsule endoscopy versus enteroclysis in the detection of small-bowel involvement in Crohn's disease: a prospective trial. Clin Gastroenterol Hepatol 2005; 3(8):772-6.
15. Chong AK, Taylor A, Miller A, Hennessy O, Connell W, Desmond P. Capsule endoscopy vs. push enteroscopy and enteroclysis in suspected small-bowel Crohn's disease. Gastrointest Endosc 2005; 61(2):255-61.
16. Voderholzer WA, Beinhoelzl J, Rogalla P, Murrer S, Schachschal G, Lochs H, Ortner MA. Small bowel involvement in Crohn's disease: a prospective comparison of wireless capsule endoscopy and computed tomography enteroclysis. Gut 2005; 54(3):369-73.
17. Culliford A, Daly J, Diamond B, Rubin M, Green PH. The value of wireless capsule endoscopy in patients with complicated celiac disease. Gastrointest Endosc 2005; 62(1):55-61.
18. Lee SK, Green PH. Endoscopy in celiac disease. Curr Opin Gastroenterol 2005; 21(5):589-94.
19. Mata A, Llach J, Castells A, Rovira JM, Pellise M, Gines A, Fernandez-Esparrach G, Andreu M, Bordas JM, Pique JM. A prospective trial comparing wireless capsule endoscopy and barium contrast series for small-bowel surveillance in hereditary GI polyposis syndromes. Gastrointest Endosc 2005; 61(6):721-5.
20. Burke CA, Santisi J, Church J, Levinthal G. The utility of capsule endoscopy small bowel surveillance in patients with polyposis. Am J Gastroenterol 2005; 100(7):1498- 502.
21. Schulmann K, Hollerbach S, Kraus K, Willert J, Vogel T, Moslein G, Pox C, Reiser M, Reinacher-Schick A, Schmiegel W. Feasibility and diagnostic utility of video capsule endoscopy for the detection of small bowel polyps in patients with hereditary polyposis syndromes. Am J Gastroenterol 2005; 100(1):27-37.
22. Graham DY, Opekun AR, Willingham FF, Qureshi WA Visible small-intestinal mucosal injury in chronic NSAID users. Clin Gastroenterol Hepatol 2005; 3(1):55-9.
23. Yousfi MM, De Petris G, Leighton JA, Sharma VK, Pockaj BA, Jaroszewski DE, Heigh RI, Ramzan NN, Fleischer DE. Diaphragm disease after use of nonsteroidal anti- inflammatory agents: first report of diagnosis with capsule endoscopy. J Clin Gastroenterol 2004; 38(8):686-91.
24. Kelly ME, McMahon LE, Jaroszewski DE, Yousfi MM, De Petris G, Swain JM. Small-bowel diaphragm disease: seven surgical cases. Arch Surg 2005; 140(12):1162-6.
25. Sears DM, Avots-Avotins A, Culp K, Gavin MW. Frequency and clinical outcome of capsule retention during capsule endoscopy for GI bleeding of obscure origin. Gastrointest Endosc 2004; 60(5):822-7.
26. Pennazio M. Small-intestinal pathology on capsule endoscopy: tumors. Endoscopy 2005; 37(10):1008-17.
27. Martínez Ares D, González Conde B, Yáñez J, Estévez E, Arnal F, Lorenzo J, Diz Lois MT, Vázquez Iglesias JL. Jejunal leiomyosarcoma, a rare cause of obscure gastrointestinal bleeding diagnosed by wireless capsule endoscopy. Surg Endosc 2004; 18(3):554-6.
28. De Mascarenhas Saraiva MN, Da Silva Araujo Lopes LM. Small-bowel tumors diagnosed by wireless capsule endoscopy: report of five cases. Endoscopy 2003; 35(10):865-8.
29. Kruger S, Noack F, Blochle C, Feller AC. Primary malignant melanoma of the small bowel: a case report and review of the literature. Tumori 2005; 91(1):73-6.
30. Guilhon de Araujo Sant'Anna AM, Dubois J, Miron MC, Seidman EG. Wireless capsule endoscopy for obscure small-bowel disorders: final results of the first pediatric controlled trial. Clin Gastroenterol Hepatol 2005; 3(3):264-70.
31. Barth BA, Donovan K, Fox VL. Endoscopic placement of the capsule endoscope in children. Gastrointest Endosc 2004; 60(5):818-21.
32. De Franchis R, Rondonotti E, Abbiati C, Beccari G, Merighi A, Pinna A, Villa E. Capsule enteroscopy in small bowel transplantation. Dig Liver Dis 2003; 35(10):728-31.
33. Yakoub-Agha I, Maunoury V, Wacrenier A, Couignoux S, Depil S, Desreumaux P, Bauters F, Colombel JF, Jouet JP. Impact of small bowel exploration using video-capsule endoscopy in the management of acute gastrointestinal graft-versus-host disease. Transplantation 2004; 78(11):1697-701.
34. Eliakim R, Sharma VK, Yassin K, Adler SN, Jacob H, Cave DR, Sachdev R, Mitty RD, Hartmann D, Schilling D, Riemann JF, Bar-Meir S, Bardan E, Fennerty B, Eisen G, Faigel D, Lewis BS, Fleischer DE. A prospective study of the diagnostic accuracy of PillCam ESO esophageal capsule endoscopy versus conventional upper endoscopy in patients with chronic gastroesophageal reflux diseases. J Clin Gastroenterol 2005; 39(7):572-8.
35. Eisen GM, Eliakim R, Zaman A, Schwartz J, Faigel D, Rondonotti E, Villa F, Weizman E, Yassin K, DeFranchis R. The accuracy of PillCam ESO capsule endoscopy versus conventional upper endoscopy for the diagnosis of esophageal varices: a prospective three-center pilot study. Endoscopy 2006; 38(1):31-5.
36. Matsumoto T, Esaki M, Moriyama T, Nakamura S, Iida M. Comparison of capsule endoscopy and enteroscopy with the double-balloon method in patients with obscure bleeding and polyposis. Endoscopy 2005; 37(9):827-32.
37. Nakamura M, Niwa Y, Ohmiya N, Miyahara R, Ohashi A, Itoh A, Hirooka Y, Goto H. Preliminary comparison of capsule endoscopy and double-balloon enteroscopy in patients with suspected small-bowel bleeding. Endoscopy 2006; 38(1):59-66.
38. Mulder CJ. A prospective study comparing video capsule endoscopy with double-balloon enteroscopy in patients with obscure gastrointestinal bleeding. Am J Gastroenterol 2006; 101(1):52-7.
39. Gay G, Delvaux M, Fassler I. Outcome of capsule endoscopy in determining indication and route for push- and-pull enteroscopy. Endoscopy 2006; 38(1):49-58.
40. May A, Nachbar L, Ell C. Extraction of entrapped capsules from the small bowel by means of push-and-pull enteroscopy with the double-balloon technique. Endoscopy 2005; 37(6):591-3.
41. Carlo JT, DeMarco D, Smith BA, Livingston S, Wiser K, Kuhn JA, Lamont JP. The utility of capsule endoscopy and its role for diagnosing pathology in the gastrointestinal tract. Am J Surg 2005; 190(6):886-90.
42. Simmons DT, Baron TH. Endoscopic retrieval of a capsule endoscope from a Zenker's diverticulum. Dis Esophagus 2005;18(5):338-9.
entrapped in a Meckel's diverticulum. J Clin Gastroenterol. 2003; 37(3):270-1.
44. Spada C, Spera G, Riccioni M, Biancone L, Petruzziello L, Tringali A, Familiari P, Marchese M, Onder G, Mutignani M, Perri V, Petruzziello C, Pallone F, Costamagna G. A novel diagnostic tool for detecting functional patency of the small bowel: the given patency capsule. Endoscopy 2005; 37(9):793-800.
45. Delvaux M, Ben Soussan E, Laurent V, Lerebours E, Gay G. Clinical evaluation of the use of the M2A patency capsule system before a capsule endoscopy procedure, in patients with known or suspected intestinal stenosis. Endoscopy 2005; 37(9):801-7.
46. Papadakis KA, Lo SK, Fireman Z, Hollerbach S. Wireless capsule endoscopy in the evaluation of patients with suspected or known Crohn's disease. Endoscopy 2005; 37(10):1018-22.
47. Rondonotti E, Herrerias JM, Pennazio M, Caunedo A, Mascarenhas-Saraiva M, De Franchis R. Complications, limitations, and failures of capsule endoscopy: a review of 733 cases. Gastrointest Endosc 2005; 62(5):712-6.
48. Schneider AR, Hoepffner N, Rosch W, Caspary WF. Aspiration of an M2A capsule. Endoscopy 2003; 35(8):713.
49. Tabib S, Fuller C, Daniels J, Lo SK. Asymptomatic aspiration of a capsule endoscope. Gastrointest Endosc 2004; 60(5):845-8.
50. Fry LC, De Petris G, Swain JM, Fleischer DE Impaction and fracture of a video capsule in the small bowel requiring laparotomy for removal of the capsule fragments. Endoscopy 2005; 37(7):674-6.
51. Payeras G, Piqueras J, Moreno VJ, Cabrera A, Menéndez D, Jiménez R. Effects of capsule endoscopy on cardiac pacemakers. Endoscopy 2005; 37(12):1181-5.
52. Leighton JA, Sharma VK, Srivathsan K, Heigh RI, McWane TL, Post JK, Robinson SR, Bazzell JL, Fleischer DE. Safety of capsule endoscopy in patients with pacemakers. Gastrointest Endosc 2004; 59(4):567-9.
53. Carey EJ, Heigh RI, Fleischer DE. Endoscopic capsule endoscope delivery for patients with dysphagia, anatomical abnormalities, or gastroparesis. Gastrointest Endosc 2004; 59(3):423-6.
54. Fireman Z, Glukhovsky A, Scapa E. Future of capsule endoscopy. Gastrointest Endoscopy Clin N Am 2004; 14:219-227.

 
 
 
 
 
 
 
 
 
 
 
 
Está expresamente prohibida la redistribución y la redifusión de todo o parte de los contenidos de la Sociedad Iberoamericana de Información Científica (SIIC) S.A. sin previo y expreso consentimiento de SIIC.
ua31618