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Doctor insights on: Disadvantages Of Capsule Endoscopy

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What is capsule endoscopy?

What is capsule endoscopy?

Small bowel test: It is a test that involves swallowing a small camera (the size of a multivitamin) that takes images of your small intestine. It sends the images to a small monitor that is worn by your side for 8-12 hours that is then connected to a computer after your return for your physician to look at the images. The capsule is one-time use only and does not need to be retrieved.

Dr. Haleh Vaziri
41 Doctors shared insights

Capsule Endoscopy (Definition)

Capsule endoscopy uses a small fiberoptic camera inside of a pill to take pictures of the lining of your intestines. It is designed to evaluate the parts of the small bowel that cannot be readily seen with standard endoscopes (upper or lower). Your doctor may want to detect a source of inflammation or bleeding that would not otherwise be seen. Images are sent to a ...Read more


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How safe is a capsule endoscopy?

Very safe: It is usually very safe. The only potential problem would be if you have a narrowing in your intestines, which can cause the pill to get stuck. You would require surgery to get it out. If you don't have a history of bowel obstructions, crohn's disease, inflammatory bowel disease, the risk of the pill getting stuck is very close to zero.

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How do I prepare for capsule endoscopy?

Laxatives: You need to take laxatives as directed by your referring doctor. Usually it is a similar preparation than the colonoscopy prep (miralax, golytely, (polyethylene glycol) nulytely, halflytely, etc).

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How do I prepare for that capsule endoscopy?

How do I prepare for that capsule endoscopy?

Quick prep: Usually, I have patients take a 10 ounce bottle of magnesium citrate the night before and have nothing to eat or drink 12 hours before the capsule so that the small intestine is clean. Some physician do a full colonscopy prep the night before, but I find my prep works very well.

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Where do you have to shave for capsule endoscopy?

Where do you have to shave for capsule endoscopy?

Stomach: It helps the pads stay on better. You can go to youtube to see the video the capsule being set up.

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What is the definition or description of: capsule endoscopy?

Capsule Endoscopy: Capsule endoscopy uses a small fiberoptic camera inside of a pill to take pictures of the lining of your intestines. It is designed to evaluate the parts of the small bowel that cannot be readily seen with standard endoscopes (upper or lower). Your doctor may want to detect a source of inflammation or bleeding that would not otherwise be seen. Images are sent to a computer chip and reviewed.

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Is capsule endoscopy available on medicare?

Is capsule endoscopy available on medicare?

Yes/no: It is not available as an inpatient, but is covered for certain diagnoses as an outpatient.

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What are the risks involved in capsule endoscopy?

Rare: capsule endoscopy is overall very safe, as it is a non-invasive procedure. However the main risk is having the capsule get stuck somewhere along the intestinal tract. Therefore if you have a history of intestinal obstruction this test should be avoided.

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Can a capsule endoscopy be performed instead of an upper endoscopy?

Sometimes: It depends on what the goal of the procedure is. The capsule endoscopy shows different views of mucosa than a scope does. It is able to look deeper into the intestines, but it does not give as good a view of the upper portion of the digestive tract. You should ask your doctor if it is appropriate. Good luck.

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What is the difference between a colonoscopy and a PillCam capsule endoscopy?

What is the difference between a colonoscopy and a PillCam capsule endoscopy?

Direct vision vs. TV: In colonoscopy a scope is passed retrograde up the colon after cleansing with a bowel prep. Air inflation dilates the bowel to aid visualization. With the pill camera, the pill or capsule is swallowed and as it passes the pylorus to the small bowel, a TV image is transmitted to a camera and the passage of the pill is video copied to review any findings and visualize any small bowel lesions.

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Do I need to return to hospital day after "capsule endoscopy"?

Return device: You need to return the recording device that you wear on your waist (some places ask you to return the same afternoon, or the following day).

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Why can't you take iron pills when you are getting a capsule endoscopy?

Color: Mainly because it changes the color of your intestinal secretions and stool. It also causes constipation. Therefore it may preclude you to have an optimal examination. Most patients getting a capsule endoscopy have anemia, however stopping it for a few days prior to the test is ok and recommended.

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Anyone knows what is the cost of entering clinical trial for capsule endoscopy?

O: Most clinical trials provide all testing and treatments at no cost to the participants. Thanks for helping science progress.

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Can a capsule endoscopy replace an upper endoscopy &colonoscopy for a 3 year old? Is the same prep required for the capsule endoscopy?

Possibly: If you are at an academic center working with pediatric GI and radiology specialists, this can be a great alternative if you just need to look. If they think biopsies are going to be needed, then won't work. And, unfortunately, you do need pretty much the same cleanout so you can get good images form the camera and be able to see what is really going on. Child also has to be able to swallow camera

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Clinical picture &Capsule endoscopy highly suggests coeliac sprue. (Mosaicing, scalloping etc) yet tTg neg., HLA DQ2/DQ8 NEGATIVE. Still CD possible?

Not typical: You may have another disease which causes inflammation in your small bowel from another mechanism given the negative IgA tTG (provided that you were not avoiding gluten at the time of the test) and DQ2/DQ8. Perhaps a biopsy is in order. Has gluten avoidance helped?

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Do I need to take bowel prep for a capsule endoscopy?

Do I need to take bowel prep for a capsule endoscopy?

Yes for best results: Best results are obtained by swallowing the capsule after good bowel prep. It has minute digital camera, which takes pictures when passing through the small bowel, well prepared gut will give best accurate pictures of pathology (diseased area) than unprepared bowel.

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Dr. Charles Cattano
2,482 Doctors shared insights

Endoscopy (Definition)

Endoscopy broadly refers to the direct visualization of the intestinal tract by way of a flexible, fiberoptic scope. Generally, the term is used to describe evaluation of the esophagus, stomach and duodenum (upper endoscopy), or the ...Read more