Neuerungen in der Videokapselendoskopie

Zusammenfassung

In den 12 Jahren seit ihrer Einführung ist die Entwicklung der Videokapselendoskopie rasant vorangeschritten. Die Entwicklungen im Bereich der Hard- und Software haben zum Ziel, die Aufnahmekapazität zu verlängern, die diagnostische Güte zu verbessern, die Befundungsdauer zu verkürzen und dadurch die Arzt- und Patientenakzeptanz für die Methode zu erhöhen. Ein weiterer Fokus liegt auf der Erweiterung des Indikationsspektrums auf verschiedene Teile des Gastrointestinaltrakts. Innovationen für die Zukunft umfassen im Bereich der Software verschiedene Möglichkeiten zur digitalen Bearbeitung des Kapselfilms und im Bereich der Hardware die Entwicklung von Antriebs- und Steuerungssystemen sowie die Integration verschiedener Messsensoren und therapeutischer Implikationen. Darüber hinaus werden erste Ansätze für eine „Mouth-to-anus-Kapsel“ zur Visualisierung des gesamten Gastrointestinaltrakts verfolgt.

Abstract

Since the 12 years after its invention, the development of capsule endoscopy has evolved rapidly. The developments in the fields of hard- and software have been aimed to expand the recording capacity, to increase the diagnostic yield and thereby to enlarge the acceptance of this method both in physicians and patients. Secondly the expansion of indications to all parts of the GI tract is being focused. Innovations for the future contain various possibilities of digitally preprocessing of capsule films, the development of active locomotion and steering mechanisms as well as the integration of various built-in sensors and therapeutic implications into the capsule. Apart from that first attempts of a „mouth-to-anus“-capsule have been tested to visualize the whole GI tract.

Schlüsselwörter

Kapselendoskopie - adaptive Bildrate - FICE - Preprocessing - aktive Steuerung

Key words

capsule endoscopy - adaptive frame rate - FICE - preprocessing - active locomotion

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