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Wireless Capsule Endoscopy

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Geriatric Gastroenterology

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Abstract

The small intestine except for the duodenum and terminal ileum was always considered a black box for routine endoscopic examination until the discovery of wireless capsule endoscopy (WCE), also known as wireless video endoscopy (WVE) or video capsule endoscopy (VCE). In the last two decades, WCE has been established as a valuable test for routine imaging of the small intestine in all age groups. It is a safe and relatively comfortable procedure to perform that can provide useful information in the diagnosis of small bowel conditions. In the older adult, WCE is valuable in diagnosing lesions of active small intestinal bleeding as well as chronic low-grade bleeding lesions causing chronic iron deficiency anemia. The rare complication of the procedure is retained capsule but is not related to an older age. Pill colonoscopy is under study but is a procedure with a great promise in the older adult.

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Abbreviations

AV:

Arteriovenous malformation

CAP:

Chronic abdominal pain

CD:

Crohn’s disease

CECDAI:

Capsule Endoscopy Crohn’s Disease Activity Index

CeD:

Celiac disease

CTE:

Computed tomography enterography

DBE:

Double-balloon enteroscopy

EGD:

Esophagogastroduodenoscopy

GIB:

Gastrointestinal bleeding

IC:

Indeterminate colitis

IDA:

Iron deficiency anemia

MRE:

Magnetic resonance enterography

OGIB:

Obscure gastrointestinal bleeding

PCCE:

PillCam colon capsule endoscopy

PCCE:

PillCam colon capsule endoscopy

PE:

Push enteroscopy

RCT:

Randomized controlled trial

SB:

Small bowel

SBB:

Small bowel bleeding

SBE:

Single-balloon enteroscopy

SE:

Spiral enteroscopy

WCE:

Wireless video capsule endoscopy

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Authors and Affiliations

  1. Division of Gastroenterology & Hepatology, Department of Internal Medicine, Saint Peter’s University Hospital/Rutgers-RWJ Medical School, New Brunswick, NJ, USA

    Anwar Dudekula

  2. Hepatology and Clinical Nutrition, Saint Peter’s University Hospital, New Brunswick, NJ, USA

    C. S. Pitchumoni

  3. Robert Wood Johnson School of Medicine/Drexel University School of Medicine, New Brunswick, NJ, USA

    C. S. Pitchumoni

  4. New York Medical College, Valhalla, NJ, USA

    C. S. Pitchumoni

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  1. Anwar Dudekula
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  2. C. S. Pitchumoni
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Correspondence to C. S. Pitchumoni .

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  1. Saint Peter's Healthcare System, New Brunswick, NJ, USA

    C. S. Pitchumoni

  2. Albert Einstein College of Medicine, Montefiore Medical Center, Wakefield Campus, Bronx, NY, USA

    T.S. Dharmarajan

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Dudekula, A., Pitchumoni, C.S. (2020). Wireless Capsule Endoscopy. In: Pitchumoni, C., Dharmarajan, T. (eds) Geriatric Gastroenterology. Springer, Cham. https://doi.org/10.1007/978-3-319-90761-1_35-1

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