A small imaging capsule without cables, wires, or external connections has been developed
for exploration of the small bowel. This swallowable device is propelled by peristalsis
through the intestinal tract, and transmits data to a nearby receiver that captures
video images on a regular basis. This technology will soon be available throughout
the world, and it promises to revolutionize deep endoscopy of the small bowel. Sonde
enteroscopy will be laid to rest forever.
There continues to be considerable interest in the use of push enteroscopy in the
investigation of obscure gastrointestinal bleeding. Physicians are beginning to rely
more on intraoperative enteroscopy, because of its high degree of accuracy and its
ability to provide visualization of the entire small bowel in selected patients in
whom the bleeding source cannot be diagnosed, but who require blood transfusions.
References
- 1
Gong F, Swain P, Mills T.
Wireless endoscopy.
Gastrointest Endosc.
2000;
51
725-729
- 2
Iddan G, Meron G, Glukhovsky A, Swain P.
Wireless capsule endoscopy.
Nature.
2000;
405
417
- 3
Meron G.
Perspectives: the development of the swallowable video capsule (M2A®).
Gastrointest Endosc.
2000;
51
in press
- 4
Lewis B.
Small intestinal bleeding.
Gastroenterol Clin North Am.
2000;
29
67-95
- 5
Lewis B.
Enteroscopy.
Gastrointest Endosc.
2000;
10
101-116
- 6
Marshall J K, Lesi O A, Hunt R H.
Obscure gastrointestinal bleeding: an approach to management.
Can J Gastroenterol.
2000;
14
111-118
- 7
American Gastroenterological A ssociation.
Medical position statement: evaluation and management of occult and obscure gastrointestinal
bleeding.
Gastroenterology.
2000;
118
197-200
- 8
American Gastroenterological A ssociation.
AGA technical review on the evaluation and management of occult and obscure gastrointestinal
bleeding.
Gastroenterology.
2000;
118
201-221
- 9
Descamps C, Schmit A, Van Gossum A.
“Missed” upper gastrointestinal tract lesions may explain “occult” bleeding.
Endoscopy.
1999;
31
452-455
- 10
Hayat M, Axon A T, O'Mahony S.
Diagnostic yield and effect on clinical outcomes of push enteroscopy in suspected
small-bowel bleeding.
Endoscopy.
2000;
32
406-410
- 11
Cellier C, Cuillerier E, Patey-Mariaud de Serre N, et al.
Push enteroscopy in celiac sprue and refractory sprue.
Gastrointest Endosc.
1999;
50
613-617
- 12
Sharma B C, Bhasin D K, Bhatti H S, et al.
Gastrointestinal bleeding due to worm infestation, with negative upper gastrointestinal
endoscopy findings: impact of enteroscopy.
Endoscopy.
2000;
32
314-316
- 13
Sharma B C, Bhasin D K, Makharia G, et al.
Diagnostic value of push-type enteroscopy: a report from India.
Am J Gastroenterol.
2000;
95
137-140
- 14
Zaman A, Sheppard B, Katon R M.
Total peroral intraoperative enteroscopy for obscure GI bleeding using a dedicated
push enteroscope: diagnostic yield and patient outcome.
Gastrointest Endosc.
1999;
50
506-510
- 15
Pennazio M, Rossini F P.
Small bowel polyps in Peutz-Jeghers syndrome: management by combined push enteroscopy
and intraoperative enteroscopy.
Gastrointest Endosc.
2000;
51
304-308
- 16
Agarwal A.
Use of the laparoscope to perform intraoperative enteroscopy.
Surg Endosc.
1999;
13
1143-1144
- 17
Matsushita M, Hajiro K, Takakuwa H, Nishio A.
Laparoscopically assisted panenteroscopy for small bowel diseases: transenterotomy
versus peroral approach.
Gastrointest Endosc.
2000;
51
771-772
- 18
Gorski Y C, Gorski T F, Chung H J, Genato R.
A new technique for intraoperative enteroscopy using a 12 mm trocar.
Surg Endosc.
1999;
13
724-726
- 19
Perez-Cuadrado E, Perez E M, Saez L R.
Jejunal diverticulum causing occult bleeding and intestinal obstruction.
Gastrointest Endosc.
2000;
51
463
- 20
Benz C, Jakobs R, Spiethoff A, et al.
A rare cause of iron deficiency anemia - recurrent hemorrhage from a carcinoid of
the jejunum: diagnosis and therapy with enteroscopy.
Z Gastroenterol.
1999;
37
725-729
- 21
Fallows G A, MacDonald K, Taylor H, Duerksen D R.
Intestinal intussusception caused by a jejunal Dieulafoy lesion.
Gastrointest Endosc.
2000;
52
107-109
- 22
Pardi D S, Loftus E V, Tremaine W J, et al.
Acute major gastrointestinal hemorrhage in inflammatory bowel disease.
Gastrointest Endosc.
1999;
49
153-157
- 23
Norton I D, Petersen B T, Sorbi D, et al.
Management and long-term prognosis of Dieulafoy lesion.
Gastrointest Endosc.
1999;
50.
762-767
- 24
Shah S G, Saunders B P, Brooker J C, Williams C B.
Magnetic imaging of colonoscopy: an audit of looping, accuracy and ancillary maneuvers.
Gastrointest Endosc.
2000;
52
1-8
- 25
Waye J D.
Imaging of the colonoscope: magnetic, fluoroscopic, or neither?.
Gastrointest Endosc.
2000;
52
131-133
J. D. Waye
Mount Sinai Hospital
650 Park Avenue
New York, NY 10 021
USA
Fax: Fax:+ 1-212-249-5349
Email: E-mail:jdwaye@aol.com
