A Primer In Capsule Endoscopy

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Capsule endoscopy (also known as wireless capsule endoscopy or video capsule endoscopy) allows visualisation of the entire small intestine. The procedure has gained popularity because it is not invasive in the same way as traditional endoscopy and it is generally safe and well tolerated. Common indications for the use of capsule endoscopy include occult bleeding and iron-deficiency anaemia, among others.

This online course aims to provide a full introduction to capsule endoscopy, capsule reporting software and the potential complications that may be encountered. Eight cases are used to illustrate the role of capsule endoscopy.  The course is based on a presentation (with 35 accompanying slides) given by Uwe Seitz as part of a practical skills training session recorded in June 2015 at the United European Gastroenterology Summer School in Prague, Czech Republic.

The combined video footage has a total duration of approximately 43 minutes. The estimated time needed to complete this course, including the final assessment, is 1 hour.

This course was developed by: UEG.

Learning Objectives

  • Understand the basics of how to use capsule reporting software.
  • Know how to deal with the most common complications of capsule endoscopy.
  • Be aware of the most common indications for capsule endoscopy.
  • Understand the common pathologies encountered at capsule endoscopy.
  • Be aware of further investigations that may be recommended following the identification of small-bowel lesions.
  • Appreciate the need for a thorough knowledge of the patient’s history when interpreting capsule findings.
  • Know the role of capsule endoscopy in the investigation of patients with iron-deficiency anaemia of unknown origin (both obscure occult bleeding and overt occult bleeding).
  • Understand the interface between capsule endoscopy and upper digestive endoscopy and enteroscopy.

Editor

Bjorn Rembacken, Consultant Gastroenterologist and Endoscopist, Leeds General Infirmary, Leeds, United Kingdom.

Lead Author

Uwe Seitz, Consultant Gastroenterologist, Kreiskrankenhaus Bergstrasse, Heppenheim, Germany.   

 

Accredited Gastroenterologists, Gastroenterologists in training, Radiologists and GI surgeons. 

  • The course is designed to last approximately 1 hour in total.
  • Olympus capsule endoscopy equipment was used to generate the footage shown in the presentation that forms the basis of this course because this equipment was used in the clinical setting in which the cases were recruited. The principles outlined in the course apply to equipment and operating systems from other manufacturers. Existing differences in alternative products do not influence teaching of the basic skills that are outlined. Footage from other manufacturers was not included to avoid confusion when using the software during the practical skills training session.
  • Uwe Seitz trains doctors and medical staff in the use of capsule endoscopy according to the existing German guidelines; these training courses are sponsored by Olympus. Bjorn Rembacken declares that he has no conflict of interests in editing this course.
  • The production of this course was funded entirely by UEG. No external sponsorship was received.
  • Learners are invited to test their knowledge at the beginning and the end of the course via a series of 10 MCQs.
  • The course has a pass mark of 70%. Those scoring less than the required pass mark are encouraged to revisist the course and retake the assessment.

Release Date: 21 October 2015