Capsule Endoscopy Findings in Celiac Disease Associated Enteropathy-Type Intestinal T-cell Lymphoma

Joyce, A M; Burns, David L.; Marcello, Peter W.; Tronic, Bruce S.; Scholz, Francis J.

doi:10.1055/s-2005-861322

Cited by 56 publications

(29 citation statements)

References 2 publications

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“…from scalloping and mosaic pattern down to complete villous atrophy, i.e. flat, nodular mucosa without folds (55,56). As VCE provides images with a high definition and magnification, it readily unveils not only the quantity and quality of these lesions, but also their distribution.…”

Section: Celiac Diseasementioning

confidence: 99%

Capsule enteroscopy and radiology of the small intestine

Fork

Aabakken

2007

Eur Radiol

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Capsule Enteroscopy and Radiology of the Small Intestine 2 ABSTRACT In a very few years, the video capsule for small bowel enteroscopy has gained widespread clinical acceptance. It is readily ingested, disposable, and allows for a complete, low-invasive endoscopic examination of the entire mucosa of the small bowel. It is a patient-friendly method and a first line procedure in the difficult evaluation of obscure gastrointestinal bleeding. It has the highest proven figure of diagnostic sensitivity for detecting lesions of the mucosa, irrespective of aetiology. The limitations of capsule endoscopy include difficulty in localizing mucosal lesions anatomically and its restricted use in patients with dysphagia, strictures or motor dysfunction. Strictures, transmural and extra-mural lesions in patients with small bowel Crohn's disease are evaluated by MRI-enterography and CT-enterography.Capsule Enteroscopy and Radiology of the Small Intestine 3 Imaging of the small bowel was, until recently, the responsibility of the radiologist, who, in dedicated centres, offered the patient not just a small-bowel follow-through with single exposures over time, but a dedicated, real time, fluoroscopic examination of a well distended small bowel, displayed in double-contrast and documented on spot films (1). This enteroclysis technique, well accepted by gastroenterologists, significantly improved both the detection of mucosal disease and the mapping of involved bowel segments. However, the duration of the examination, discomfort related to nasojejunal intubation and infusion of large volumes of contrast and distension materials, be it methyl cellulose or air (2), reduced general acceptance and dissemination of this method (3). VCE has evolved to be the first line procedure in many hospitals (7-13), keeping small bowel radiology as method of choice for patients who cannot take the capsule (13). In order to understand the diagnostic algorithm of modern small bowel examination we will discuss the video capsule technique, its indications and contraindications, advantages and disadvantages, types of true and false lesions and comparative studies of VCE and radiological methods of investigation of the small intestine. The video capsuleVCE was primarily developed for examination of small bowel mucosa (14,15). Rapid technical refinement has since resulted in a dedicated capsule for the oesophagus, and recently capsules for the study of both stomach and colon (16).The capsule measures 11 by 27mm and includes a light source and a camera inside a clear, transparent dome, batteries and a radio-transmitter (Figure 1). Whilst ushered forward by peristalsis the capsule transmits images continuously at two frames per second for around eight hours, a total of more than 60.000 images. The image has a 140° field of view, a focus depth of 1-30 mm, and an 8:1 magnification (17). An array of eight external detectors, applied to the abdominal wall, receives the images for storage in a solid state data recorder. Capsule Enteroscopy and Radiology of the Smal...

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Section: Celiac Diseasementioning

confidence: 99%

Capsule enteroscopy and radiology of the small intestine

Fork

Aabakken

2007

Eur Radiol

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“…In addition, duodenal biopsy sampling may be affected by specimen orientation [180]. The distribution of complications of coeliac disease such as ulcerative jejunitis and enteropathy-associated T-cell lymphomas is also particularly important as these appear to be more commonly seen in the distal small bowel [181][182][183]. For this reason, other endoscopic modalities such as push or doubleballoon enteroscopy (DBE) may be employed in order to allow more extensive evaluation of the small bowel and obtain histology [177,184].…”

Section: Introductionmentioning

confidence: 98%

Small Bowel Capsule Endoscopy

Rahman

Patel

Rondonotti³

et al. 2014

Handbook of Capsule Endoscopy

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“…These complications are often not identifiable by conventional imaging modalities as they are located beyond the site reachable by traditional endoscopy. Capsule endoscopy has been reported to be able to demonstrate intussusception, ulcerative jejunoileitis, lymphoma and adenocarcinoma in patients with celiac disease [23][24][25][26][27] . In a series of 47 celiac patients with a high risk of complication (persistent unexplained abdominal pain, weight loss, history of small bowel neoplasia, long-standing celiac disease, positive faecal occult blood test or iron deficiency anaemia unresponsive to iron supplementation), lesions were detected in about 50% of cases [20] .…”

Section: C B Amentioning

confidence: 99%

Capsule endoscopy in celiac disease

Spada¹,

Riccioni²,

Urgesi³

et al. 2008

WJG

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Video capsule endoscopy is an attractive and patientfriendly tool that provides high quality images of the small bowel. Obscure gastrointestinal bleeding is the primary and most evaluated indication to capsule endoscopy; however, indications are expanding and a small number of preliminary reports have been presented concerning the role of video capsule endoscopy in the diagnosis of celiac disease. The purpose of this review is to update the current knowledge and to hypothesize on future perspectives of the use of video capsule endoscopy in patients with celiac disease.

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Capsule Endoscopy Findings in Celiac Disease Associated Enteropathy-Type Intestinal T-cell Lymphoma

Cited by 56 publications

References 2 publications

Capsule enteroscopy and radiology of the small intestine

Capsule enteroscopy and radiology of the small intestine

Small Bowel Capsule Endoscopy

Capsule endoscopy in celiac disease

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