Capsule Endoscopy: A Guide to Becoming an Efficient and Effective Reader PDF
Preview Capsule Endoscopy: A Guide to Becoming an Efficient and Effective Reader
David 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 © Springer International Publishing AG 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland 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
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