Zusammenfassung
Der erfolgreiche Einsatz der Dünndarmkapselsysteme bereitet den Weg für die technischen Weiterentwicklungen dieser Systeme und den Einsatz im gesamten Gastrointestinaltrakt. Neue Entwicklungen in diesem Bereich sind die 2. Kapselgeneration der Ösophaguskapsel (Pillcam® Eso 2) und der Kolonkapsel (Pillcam® Colon 2). Obwohl die Datenerhebungen für die neuen Kapselsysteme gerade erst begonnen haben, lassen doch die bereits verfügbaren Arbeiten erahnen, das der technische Fortschritt auch die Wertigkeit der Systeme verbessert. Auch könnten weitere Innovationen, wie die Implementierung des Fujinon FICE-Systems oder eine über ein Magnetsystem steuerbare Kapsel für den oberen Gastrointestinaltrakt die Einsatzmöglichkeiten im klinischen Alltag optimieren.
Abstract
The successful application of the small bowel capsules opened new fields for technical innovations of these systems for the whole GI tract. New developments in this field are the second generation esophageal capsule (Pillcam® Eso 2) and colon capsule (Pillcam® Colon 2). Although the collection of data for the new systems just started, the already available publications demonstrate that technical progress may increase the accuracy of these systems. Further innovations like the implementation of the Fujinon FICE system or a via a magnetic system steerable capsule for the upper GI tract may enhance the use in the daily clinical routine.
Schlüsselwörter
Kapselendoskopie - Pillcam Colon - Pillcam Eso - technische Innovationen der Endoskopie
Key words
capsule endoscopy - Pillcam Colon - Pillcam Eso - technical innovations in endoscopy
Literatur
-
1
Gralnek I M, Adler S N, Yassin K et al.
Detecting esophageal disease with second generation capsule endoscopy: initial evaluation of Pillcam ESO 2.
Endoscopy.
2008;
40
275-279
-
2
Lu Y, Gao R, Liao Z et al.
Meta-analysis of capsule endoscopy in patients diagnosed or suspected with esophageal varices.
WJG.
2009;
15
1254-1258
-
3
Lapalus M G, Dumortier J, Fumex F et al.
Esophageal capsule endoscopy versus esophagogastroduodenoscopy for evaluating portal hypertension: a prospective and comparative study for performance and tolerance.
Endoscopy.
2006;
38
36-41
-
4
Lapalus M G, Ben Soussan E, Gaudric M et al.
Esophageal capsule endoscopy vs. EGD for the evaluation of portal hypertension: a French prospective comparative multicenter study.
Am J Gastroenterol.
2009;
104
1112-1118
-
5
Heresbach D, Leray E, d’Halluin P N et al.
Diagnostic accuracy of esophageal capsule endoscopy versus conventional upper digestive endoscopy for suspected esophageal squamous cell carcinoma.
Endoscopy.
2010;
42
93-97
-
6
Swain P, Toor A, Volke F et al.
Remote magnetic manipulation of a wireless capsule endoscope in the stomach of humans.
Gastrointest Endosc.
2010;
, [epub ahead of print]
-
7
Pohl J, Aschmoneit I, Schuhmann C et al.
Computed image modification for enhancement of small-bowel surface structures at video capsule endoscopy.
Endoscopy.
2010;
42
490-492
-
8
Fritscher-Ravens A, Scherbakov P, Bufler P et al.
The feasibility of wireless capsule endoscopy in detecting small intestinal pathology in children under the age of 8 years – a Multicenter European Study.
GUT.
2009;
58
1467-1472
-
9
Schoofs N, Devière J, Van Gossum A.
Pillcam colon capsule endoscopy compared with colonoscopy for colorectal tumor diagnosis: a prospective pilot study.
Endoscopy.
2006;
38
971-977
-
10
Eliakim R, Fireman Z, Gralnek I M et al.
Evaluation of the Pillcam Colon capsule in the detection of colonic pathology: results of the first multicenter, prospective, comparative study.
Endoscopy.
2006;
38
963-970
-
11
Van Gossum A, Munoz Navas M, Fernandez-Urien I et al.
Capsule endoscopy versus colonoscopy for the detection of polyps and cancer.
NEJM.
2009;
361
264-270
-
12
Rokkas T, Papaxoinis K, Triantafyllou K et al.
A meta-analysis evaluating the accuracy of colon capsule endoscopy in detecting colon polyps.
Gastrointest Endosc.
2010;
71
792-798
-
13
Spada C, Riccioni M E, Hassan C et al.
Pillcam colon capsule endoscopy: a prospective randomized trial comparing two regimens of preparation.
J Clin Gastroenterol.
2010;
, [epub ahead of print]
-
14
Eliakim R, Yassin K, Niv Y et al.
Prospective multicenter performance evaluation of the second-generation colon capsule compared with colonoscopy.
Endoscopy.
2009;
41
1026-1031
-
15
Triantaffylou K, Tsibouris P, Kalantzis C et al.
Pillcam colon capsule endoscopy does not always complement incomplete colonoscopy.
Gastrointest Endosc.
2009;
69
572-576
-
16
Spada C, Riccioni M E, Petruziello L et al.
The new PillCam Colon capsule: difficult colonoscopy? No longer a problem?.
Gastrointest Endosc.
2008;
43
497-505
-
17
Sung J JY, Ching J Y, Leung W K et al.
Assessment of colonic inflammatory lesions and ulcerative colitis with Pillcam Colon capsule endoscopy compared to colonoscopy.
Endoscopy.
2008;
40 (Suppl. 1)
A199
Dr. med. M. Philipper
Gastroenterologische Praxis
Kölner Straße 271
40227 Düsseldorf
eMail: dr.philipper@unitybox.de
