Capsule Endoscopy
What is a capsule endoscopy?
Video capsule endoscopy or the “pill cam” is a relatively new technique which was introduced into clinical practice in 2000 and has revolutionised small bowel imaging. The test involves swallowing a single use capsule containing a battery and a video camera which transmits pictures to a small video recorder worn on a belt. Video capsule endoscopy is the most sensitive test for identifying abnormalities of the small bowel. Its advantages are that unlike X-ray and CT tests it involves no ionising radiation, is non-invasive and it is able to identify subtle mucosal abnormalities that may be missed with these tests.
Why would you need a capsule endoscopy?
Indications for small bowel video capsule endoscopy
Assessment of small bowel disease activity in patients with known Crohn’s disease
- Suspected small bowel Crohn’s disease
- Unexplained iron deficiency anaemia
- Continuing symptoms in patients with coeliac disease (non-responsive coeliac disease)
- Suspected small bowel tumours
- Surveillance in patients with Familial adenomatous polyposis and known duodenal polyps
- Surveillance in patients with Peutz Jegher’s syndrome
Indications for upper GI (UGI) Capsule endoscopy and colon capsule endoscopy
- UGI is a non-invasive alternative to traditional gastroscopy (OGD).
- Colon capsule is a non-invasive alternative to traditional colonoscopy
What happens?
Patients undergoing video-capsule endoscopy are usually asked to attend the hospital in the morning (8-9am is preferable). The data (video) recorder will be attached to your waist with a belt and small sticky plasters with electrodes will be applied to your abdomen. You will then be asked to swallow the video capsule with water. For those undergoing small bowel or colon capsule after a short period of observation (to ensure everything is working and you are OK) patients are discharged home. Patients undergoing UGI (upper GI capsule) are asked to turn through different positions on a couch to maximise views obtained. Patients can then perform most activities (bathing and showering must obviously be avoided). The equipment record a video of the gut which is later downloaded at the hospital and then watched and reported by Dr McLaughlin.
Where do we offer it?
This is conducted at Bournemouth Hospital. Private Health UHD is the only private service offering this treatment in Dorset.
