The role of capsule endoscopy in diagnosis and clinical management of obscure gastrointestinal bleeding

Nayantara Coelho-Prabhu, Shabana F. Pasha, Jonathan Leighton

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

About 5% of all gastrointestinal (GI) bleeding arises from the small bowel between the ligament of Treitz and the ileocecal valve, termed suspected small bowel bleeding. In this chapter, we review the applications of capsule endoscopy (CE) in the assessment of suspected small bowel bleeding. The yield of CE is highest within 2 weeks of the bleeding event. It can be affected by multiple factors, including patient age and use of anticoagulation. We also discuss CE as compared with enteroscopy and radiographic imaging in the diagnosis of small bowel bleeding. We also review the limitations and contraindications of CE. Finally, we introduce the latest developments in the application of artificial or augmented intelligence to the reading of CE.

Original languageEnglish (US)
Title of host publicationArtificial Intelligence in Capsule Endoscopy
Subtitle of host publicationA Gamechanger for a Groundbreaking Technique
PublisherElsevier
Pages53-68
Number of pages16
ISBN (Electronic)9780323996471
ISBN (Print)9780323996488
DOIs
StatePublished - Jan 1 2023

Keywords

  • Obscure GI bleeding
  • capsule endoscopy
  • diagnostic yield
  • suspected small bowel bleeding

ASJC Scopus subject areas

  • General Agricultural and Biological Sciences
  • General Biochemistry, Genetics and Molecular Biology

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