The Role of Video Capsule Endoscopy in Liver Disease - 17/03/21

Doi : 10.1016/j.giec.2020.12.007

Alexander Ross Robertson, MBChB, MRCP, AFHEA ^a , Anastasios Koulaouzidis, MD, MD(Res), PhD, FEBG ^b, Emanuele Rondonotti, MD, PhD ^c, Mauro Bruno, MD ^d, Marco Pennazio, MD ^d,^⁎
^a Department of Gastroenterology, Western General Hospital, Crewe Road South, Edinburgh EH4 2XU, Scotland
^b Pomeranian Medical University, Department of Social Medicine & Public Health, Faculty of Health Sciences, Rybacka 1, Szczecin, West Pomeranian Voivodeship, Poland
^c Gastroenterology Unit, Valduce Hospital, Dante Alighieri Street, 11, Como 22100, Italy
^d University Division of Gastroenterology, City of Health and Science University Hospital, Via Cavour 31, 10123 Turin, Italy

^∗Corresponding author.

Résumé

In the setting of chronic liver disease, capsule endoscopy is safe and well tolerated, making it an appealing diagnostic procedure. It is used mainly for the surveillance of esophageal varices, investigation of anemia, and exploration of the small bowel for complications of portal hypertension. Capsule endoscopy is recognized as a viable alternative in patients unable or unwilling to undergo upper gastrointestinal endoscopy for investigations of esophageal varices. In evaluating the small bowel of patients with liver disease and unexplained anemia, capsule endoscopy increases recognition of mucosal abnormalities, although their clinical significance is often unclear.

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Keywords : Capsule endoscopy, Cirrhosis, Portal hypertension, Varices, Enteropathy, Panenteric, Surveillance