Video capsule endoscopy: Perspectives of a revolutionary technique

Table 2 Small bowel capsule video endoscopy

Preparation

No preparation

Fasting since the day before

Clear liquid diet/a 8-h fast

Ingestion of PEG (1 or 2 L)

Simethicone

Indications

Obscure gastrointestinal bleeding

Crohn’s disease

Polyposis (FAP, Peutz-Jeghers…)

Coeliac disease

Intestinal tumors

SB mucosal breaks

Unsolved abdominal pain/diarrhea

Factors associated with a higher detection rate of positive findings

Early CE within the first days of admission for overt OGIB

Advanced age

Male sex

Inpatient status

Use of anticoagulation

Hepatic comorbidity

Occurrence of more than one episode of bleeding

Ongoing overt OGIB

Hemoglobin level of less than 10 g/dL

Coexistence of connective tissue disease

Need for a high number of transfusions before SBVCE

FAP: Familial adenomatous polyposis; OGIB: Obscure gastrointestinal bleeding; CE: Capsule endoscopy; SBVCE: Small bowel (SB) capsule video endoscopy; PEG: Polyethylene glycol.