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Adoption of video capsule endoscopy has been slow, but there are
now four FDA-approved devices and others available in China. It is
now generally realized that there is an expanding role for these
devices, not only in the small intestine but in the GI tract in
general. In collaboration with Consulting Editor, Dr. Charles
Lightdale, guest editor Dr. David Cave has assembled expert authors
to provide clinical reviews that address where we are now, areas of
controversy that still need resolution, and where the field is
likely to develop over the next 5 to 10 years. Articles are
specifically devoted to the following topics: Training, Reading and
Reporting for Video Capsule Endoscopy; Indications and
Contraindications: Complications of Capsule Endoscopy; Preparation,
Prokinetics, and Surface Active Agents; Role of Capsule in Small
Intestinal Bleeding; Role of Capsule Endoscopy in IBD; Role of
Video Capsule Endoscopy in Liver Disease; Role of Video Capsule
Endoscopy in Alternative Settings; Timing and Use of the Capsule
Endoscopy in the Acute Care Setting; Role of Video Capsule
Endoscopy as a Prelude to Deep Enteroscopy; Location of Capsule and
Provocation Testing; Cost Effectiveness of Video Capsule Endoscopy;
Artificial Intelligence in Capsule Endoscopy; and Novel Clinical
Applications and Technical Developments in Video Capsule Endoscopy.
The small intestine has, until 2001, been an organ largely
inaccessible to conventional endoscopy. Since that time a variety
of endoscopic technologies have become available that have
transformed small bowel diagnosis and therapy with a concomitant
increase in interest in this organ and its disorders. This issue is
divided into two sections; first, the new technologies are
presented and include video capsule endoscopy, single and double
balloon enteroscopy, and very recently the innovative Spirus screw
technology. An article on comparison of these new technologies and
the evolving techniques of CT and MRI is included. Indications,
contraindications, complications and therapeutic adjunctive devices
are discussed. The second section addresses the application of
these technologies to specific diseases and discusses how these
technological advances have changed their management. An article on
intra-operative enteroscopy and its utilization in this new era is
included.
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