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  • Capsule Endoscopy is a term used to describe a miniature capsule used to record images through the digestive tract for use in medicine.
  • The capsule, also known as a capsule camera or video pill or PillCam or EndoCapsule or Sayaka, is a camera with the size and shape of a pill used to visualize the gastrointestinal tract. Capsule endoscopy has other names such as Wireless capsule endoscopy, Miniature Ingestible Capsule.
  • Capsule Endoscopy involved ingesting a small capsule, which contains a colour camera, batter, light source and transmitter. The camera takes two pictures every second for eight hours, transmitting images to a data recorder about the size of a portable CD player that patients wear around the waist.
  • Capsule endoscopy (CE) is a developing technique of gastrointestinal endoscopy which began to be used after becoming officially available by getting the FDA license in 2001.
  • The capsule endoscope is developed and currently available only by Given Diagnostic Imaging System. Capsule endoscopy utilizes a wireless video camera small enough to swallow to perform painless endoscopic imaging of the small intestine.
  • Capsule endoscopy is ideal for the search of gastrointestinal bleeding in patients who had undergone standard examinations but no specific conclusion could be made. The capsule has the ability to obtain high resolution images and doesn’t require big preparations and doesn’t cause discomfort.
  • Capsule endoscopy is a significant technical breakthrough for the investigation of the small bowel, and yet recently the esophagus. The CE has the potential for use in a wide range of patients with a variety of illnesses and the studies on the uses of this device is very fresh. In future, with the coming new products and competitive companies, the abilities and the effectiveness of the system will be improved.
  • CE is now accepted as the optimal diagnostic technology for patients with “obscure” GI bleeding (OGIB), defined as bleeding from a source that is not detected by colonoscopy and esophagogastroduodenoscopy.
  • The basic equipment for CE requires an investment of about US$29,000, and its effectiveness is directly related to the ability to accurately make the diagnosis based on reading of the 50,000 images gathered in traversing the small bowel.
  • Capsule endoscopy is used as a less-invasive procedure in placement of a traditional endoscope, which is a long, thin tube inserted into the rectum and transversed through the colon or into the oral cavity. The technology is used by gastroenterologists to detect diseases such as Crohn's disease, gastric ulcers, and colon cancer.
  • At the present time, the capsule camera is primarily used to visualize the small intestine. Whereas the upper gastrointestinal tract (esophagus, stomach, and duodenum) and the colon (large intestine) can be very adequately visualized with scopes (cameras placed at the ends of thin flexible tubes), the small intestine is very long (average 20-25 feet) and very convoluted.
General
  • Capsule endoscopy - Introduction
  • Capsule endoscopy
  • Pill-sized Camera Produces Images of the Small Intestine
  • Small Blood Bleeding and Capsule Endoscopy
  • Capsule Endoscopy Information
  • Information about Capsule Endoscopy
  • Inflammatory Bowel Disease
  • FAQ about Capsule Endoscopy

Analysis

  • Evaluation of the Pillcam Colon Capsule in the detection of Colonic Pathology
  • Computerized Image analysis of wireless capsule endoscopy videos using a dedicated web-like model of deformable rings
  • The design of image information system for wireless capsule Endoscopy
  • Wireless capsule Endoscopy images enhancement using Contrast driven forward and backward anisotropic diffusion
  • ROC curves and video analysis optimization in intestinal capsule endoscopy
  • Sensitivity and inter-observer variability for capsule endoscopy image analysis in a cohort of novice readers
  • Identification of Intestinal Motility Events of Capsule Endoscopy Video Analysis
  • Initial experience with capsule endoscopy at a major referral hospital

Functions

  • Electromagnetic interference with implantable cardiac pacemakers by video capsule
  • The indications for the wireless capsule endoscopy 
  • Tacrolimus-Induced Intestinal Angioedema: Diagnosis by Capsule Endoscopy
  • Capsule endoscopy sheds light into small intestine
  • Video capsule endoscopy: A voyage beyond the end of the scope
  • An Adaptive Neurofuzzy Approach for the Diagnosis in Wireless Capsule Endoscopy Imaging
Patent
  • Capsule endoscope guidance system, capsule endoscope holder, and capsule endoscope
  • Camera Capsule
  • Capsule endoscope with electroluminescence light source
  • Gastrointestinal Diagnostic Capsule and Method of use
  • Capsule Endoscope image display controller
  • System and method for performing capsule endoscopy in remote sites

Technology

  • Technology of CE
  • Wireless Capsule Endoscopy as a Diagnostic Technique in the Disorders of the Small Bowel and Esophagus 
  • Innovations in Technology
  • New Technology Allows Physicians To Take A Fantastic Voyage
  • M2Aâ capsule endoscopy for the diagnosis of small bowel disorders
  • ASGE Technology Status Evaluation Report: wireless capsule endoscopy
  • Capsule enteroscopy in India: early steps
  • Capsule Endoscopies for the Small Intestine
  • The inside view
Applications and Products
  • Actively bleeding Dieulafoy’s lesion of the small bowel identified by capsule endoscopy and treated by push enteroscopy
  • Wireless Capsule Endoscopy
  • Use of video capsule endoscopy in a patient with an implantable cardiac defibrillator
  • Capsule endoscopy in obscure gastrointestinal bleeding
  • Capsule Endoscopy for Evaluation of Occult Bleeding
  • Wireless capsule Endoscopy in the evaluation of established and suspected Crohn's Disease
  • Olympus Capsule Endoscopy for Small Bowel Examination
  • PillCam™ ESO Capsule Endoscopy

Market

  • Korean firm to mass produce capsule endoscope by year's end
  • Release of New Capsule Endoscopes will Spur Market Growth
  • Ruling the Endoscopy Market
  • Given Imaging M2A capsule safe for children
Report
  • Video capsule endoscopy and the hidden gastrointestinal diseases
  • Capsule endoscopy turning up undiagnosed cases of Crohn's disease
  • Capsule endoscopy has improved detection of problems
  • Capsule endoscopy: For the diagnosis of small bowel diseases
  • Capsule endoscopy: What role for this new technology?
  • Wireless Capsule Endoscopy
  • Self Organized Maps for Intestinal Contractions Categorization with Wireless Capsule Video Endoscopy

Policy

  • Medical Coverage Policy
  • Capsule Endoscopy
  • MVP/Preferred Care Benefit Interpretation Manual - Capsule Endoscopy
  • Clinical Policy Bulletin:Capsule Endoscopy
  • Given Imaging Announces Six New Coverage Policies for Capsule Endoscopy
  • Capsule Endoscopy, Wireless- Corporate Medical Policy

Company Profiles and Suppliers

  • Given Imaging
  • ShangHai Fujinon Medical Equipment Co., Ltd
  • Chongqing Jinshan Science & Technology (Group) Co

Guidelines

  • Guidelines on small bowel enteroscopy and capsule endoscopy in adults
  • Ensuring Competence in Endoscopy
  • Guidelines for credentialing and granting privileges for capsule endoscopy
  • Patient Instructions for Undergoing Capsule Endoscopy

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