Table Of ContentDavid J. Hass
Editor
Capsule Endoscopy
A Guide to Becoming
an Effi cient and
Eff ective Reader
123
Capsule Endoscopy
David J. Hass
Editor
Capsule Endoscopy
A Guide to Becoming an Efficient
and Effective Reader
Editor
David J. Hass
Yale University School of Medicine
Gastroenterology Center of Connecticut
Hamden, CT
USA
The online companion to this book can be accessed at:
http://www.gastrocenter.org/publications/capsule-endoscopy/
ISBN 978-3-319-49171-4 ISBN 978-3-319-49173-8 (eBook)
DOI 10.1007/978-3-319-49173-8
Library of Congress Control Number: 2017931685
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Online Companion
Access the online companion for this text at
http://www.gastrocenter.org/publications/capsule-endoscopy/
To Lauren, Samantha, Ethan, and Jordan –
thank you for always inspiring me every day
and for allowing me the opportunity to
complete this project. I am grateful beyond
words for your patience, understanding, and
love and for always reminding me of what is
important.
Preface
The concept of this text was born out of a desire to teach. I have always thoroughly
enjoyed teaching and feel it to be my responsibility to be an educator for tomorrow’s
physicians. Importantly, in order to ensure that physicians learn in an efficient man-
ner, it requires a standardization of method and an understandable approach. The
goal of this text is to provide that understanding for those who desire the skillset to
understand capsule endoscopy technology.
This text is meant to provide the baseline knowledge and framework necessary
to develop the comfort level to begin to read capsule endoscopy studies indepen-
dently. The chapter authors have provided easy-to-understand text so that the reader
can easily develop an algorithm for capsule reading. Our hope is that the readers
will take this framework and then hone their skillset to become more proficient
capsule readers. Further, readers of the text should know that the capsule network is
robust and that the learning never stops. Remember it is the sign of an astute and
diligent clinician to ask for another set of eyes to look at potential pathology so as
to ensure that the patient is taken care of in the best manner possible.
We hope you enjoy the text and enjoy visualizing and studying the small bowel
as much as we do. Thank you for taking the first step to become an effective and
efficient capsule endoscopist.
Hamden, CT, USA David J. Hass
ix
Acknowledgments
I am so fortunate to have had impactful mentors and teachers throughout my entire
medical career, and to all of the incredible physicians who I have been privileged to
call mentors and friends, thank you. Specifically, I would like to recognize Dr. Larry
Brandt and Dr. David Greenwald for their enthusiasm and guidance throughout my
training and beyond which have afforded me the drive to strive to become a better
clinician, educator, and mentor myself. I appreciate all of the time and sacrifice that
you both provided to educate me. This book is one example of a humble attempt to
continue to pay it forward for future colleagues. I share this endeavor with both of
you.
Thank you to all of the chapter authors who contributed to this book. I truly
appreciate your dedication and committment to this project and I am privileged to
be able to call each of you friend and colleague. I also want to recognize my current
colleagues at Gastroenterology Center of Connecticut and Physicians Alliance of
Connecticut (PACT) for continually supporting me in my endeavors and projects.
Your support is truly appreciated and noted.
My parents and sister have certainly provided me with the foundation of under-
standing what it means to have a strong work ethic and to give any effort 110 %. I
am truly grateful for their dedication and love and for their support and encourage-
ment throughout my entire life.
A special thank you to the team previously and currently at Medtronic (Deborah
Mutter, Sherry Fox, Lisa Willkie, Robin Price, Scott Kraun and Elizabeth Levy
Karen) for providing many of the images in this book and for continually supporting
educational initiatives to help train tomorrow’s clinical gastroenterologists. Your
prioritization of medical education is unparalleled and truly appreciated.
Finally, it is equally important to recognize all of the patients that afford us the
opportunity every day of caring for them and for trusting the care we provide. We
are truly privileged to call ourselves physicians and always must remember not to
take this unique privilege for granted.
xi
Contents
1 The History and Development of the Small Bowel
Capsule/Comparison of Current Available Capsule Platforms . . . . . . . 1
Jonathan A. Erber
2 SBCE Indications, Contraindications and Administration:
Preps, Prokinetics, and Retention .............................. 23
Michal R. Gross and Daniel S. Mishkin
3 Difficult Populations: Dysphagia/Partial SBOs/ICDs/Pediatrics . . . . . 35
Seth A. Gross, Andrew Dikman, and Jonathan Rosenberg
4 Capsule Endoscopy for Obscure Gastrointestinal Bleeding . . . . . . . . . 49
Rabia Ali and Seth A. Gross
5 The Utility of Capsule Endoscopy in Crohn’s Disease . . . . . . . . . . . . . 65
Steven Naymagon and David Greenwald
6 The Role of Capsule Endoscopy in the Diagnosis
and Management of Celiac Disease and Refractory Diarrhea . . . . . . . 83
Amir Eshag Soumekh and Fouad Otaki
7 Becoming an Efficient and Effective Reader of Capsule
Endoscopy in Screening and Surveillance of Small Bowel
Polyposis Syndromes and Masses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Amit P. Desai and Felice Schnoll-Sussman
8 How to Read a Small Bowel Capsule Endoscopy Study . . . . . . . . . . . 105
David W. Wan and David J. Hass
9 D istinguishing Normal Anatomy from Abnormal Capsule
Endoscopic Images: A Challenging Task . . . . . . . . . . . . . . . . . . . . . . . 123
Jonathan A. Erber and Grigoriy E. Gurvits
xiii
xiv Contents
10 Colon Capsule and the Future of Capsule Endoscopy . . . . . . . . . . . . 151
David J. Hass
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161
