Clin Endosc.  2013 Jan;46(1):45-53. 10.5946/ce.2013.46.1.45.

Guideline for Capsule Endoscopy: Obscure Gastrointestinal Bleeding

• Shim KN
• Moon JS
• Chang DK
• Do JH
• Kim JH
• Min BH
• Jeon SR
• Kim JO
• Choi MG
• Korean Gut Image Study Group

• KMID: 1792639
• DOI: http://doi.org/10.5946/ce.2013.46.1.45

Abstract

Capsule endoscopy (CE) is considered as a noninvasive and reliable diagnostic tool of examining the entire small bowel. CE has been performed frequently at many medical centers in South Korea; however, there is no evidence-based CE guideline for adequate diagnostic approaches. To provide accurate information and suggest correct testing approaches for small bowel disease, the guideline on CE was developed by the Korean Gut Image Study Group, a part of the Korean Society of Gastrointestinal Endoscopy. Operation teams for developing the guideline were organized into four areas: obscure gastrointestinal bleeding, small bowel preparation, Crohn's disease, and small bowel tumor. A total of 20 key questions were selected. In preparing this guideline, MEDLINE, Cochrane library, KMbase, KISS, and KoreaMed literature searches were performed. After writing a draft of the guideline, opinions from various experts were reflected before approving the final document. The guideline should be regarded as recommendations only to gastroenterologists in providing care to their patients. These are not absolute rules and should not be construed as establishing a legal standard of care. Although further revision may be necessary as new data appear, this guideline is expected to play a role for adequate diagnostic approaches of various small bowel diseases.

Keyword

Capsule endoscopy; Small bowel disease; Guideline

MeSH Terms

Capsule Endoscopy
Crohn Disease
Endoscopy, Gastrointestinal
Hemorrhage
Humans
Standard of Care
Writing

Figure

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  Fig. 1 Diagnostic yield of capsule endoscopy (CE) compared with double balloon enteroscopy (DBE) in obscure gastrointestinal bleeding. CI, confidence interval.

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  Fig. 2 Increased diagnostic yield of double balloon enteroscopy (DBE) performed after positive capsule endoscopy (CE) in obscure gastrointestinal bleeding. CI, confidence interval.

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