TY - JOUR A2 - Choi, Myung-Gyu AU - Yang, Dong-Hoon AU - Keum, Bora AU - Jeen, Yoon Tae PY - 2016 DA - 2015/12/27 TI - Capsule Endoscopy for Crohn’s Disease: Current Status of Diagnosis and Management SP - 8236367 VL - 2016 AB - Crohn’s disease (CD) is an idiopathic inflammatory bowel disease involving the small and/or large intestine. More than 50% of Western CD patients and up to 88% of Asian CD patients may have small intestinal involvement. Video capsule endoscopy (VCE) has a higher diagnostic yield than small bowel barium radiography and computed tomography enterography for the detection of small intestinal involvement of CD. VCE also provides diagnostic yields comparable to magnetic resonance- (MR-) based enterography or enteroclysis and may have several advantages over MR-based tests for the detection of early small intestinal lesions. Several studies have suggested the use of VCE-based disease activity scoring systems to evaluate small intestinal mucosal disease activity, although their clinical relevance needs to be further studied. A possible indication for VCE is recurrence monitoring after complete surgical excision of CD-involved segments but its usefulness and efficacy compared with conventional endoscopy should be evaluated. The capsule retention rate ranges from 0 to 5.4% in suspected CD patients and from 0 to 13.2% in established CD patients. If VCE is necessary, significant small bowel stricture should be ruled out before VCE by performing a patency capsule study and/or small bowel radiological study in suspected or established CD patients. SN - 1687-6121 UR - https://doi.org/10.1155/2016/8236367 DO - 10.1155/2016/8236367 JF - Gastroenterology Research and Practice PB - Hindawi Publishing Corporation KW - ER -