CAPSULE ENDOSCOPY

What is Capsule Endoscopy?

Capsule Endoscopy involves swallowing a video capsule, the size of a large vitamin capsule, to examine primarily the small bowel, the middle part of your gastrointestinal tract, which cannot be easily examined by traditional endoscopy methods (upper endoscopy). The procedure is commonly undertaken if there is suspicion of non-structuring disease of the small bowel. The capsule endoscopy is a visual examination and is purely diagnostic, no biopsies or therapy can be performed with this and requires the best Gastroenterology Faridabad

This capsule, with its own camera and light source, takes pictures of the small intestine as it passes through and transmits it to a small recording device which is worn as a belt on the body. These images are seen in real time or later on.

Why is Capsule Endoscopy Done?

Capsule endoscopy helps to evaluate the small intestine. The capsule endoscopy is indicated to search for the source of small intestinal bleeding and to detect polyps, inflammatory bowel disease (Crohn’s disease), tumours and ulcers of the small intestine.

What preparation is required for Capsule endoscopy?

Usually, 12 hours fasting is recommended and sometimes bowel preparation/cleansing may be done prior to the examination.

How Capsule Endoscopy is done?

The pill-sized capsule endoscope is swallowed with a small amount of water. Sensors (like ECG leads) are placed on the patient’s abdomen. The sensors will be attached to a Data

Recorder that will be worn in a belt around the patient’s waist. Once swallowed the camera moves naturally through the digestive tract. Approximately eight hours after ingesting the camera, patients return to the Endoscopy Unit where the recording device and the sensors are removed, the images are downloaded to a computer and evaluated. This is disposable/single time use capsule and it passes of its own in the stool. The patient is advised to check the passage of the capsule in their stool regularly and to report it to the Physician. The patient is instructed not to undergo MRI till capsule is inside their body.  

What are its benefits?

The capsule is easily swallowed and non-invasive. It is painless, real-time and sedation-free. The patient can relax in comfort and walk about, without a hospital stay. Exposure to potentially harmful radiation does not occur

Capsule Endoscopy is usually used when other methods such as Upper GI endoscopy (gastroduodenoscopy), Colonoscopy and/or Enteroscopy have failed to provide a diagnosis.

An alternative to capsule endoscopy is Balloon Endoscopy (single/double balloon) which involves passing a long endoscope into the small bowel which is more invasive, requires sedation and carries a greater risk. this can be accomplished with the best endoscopy in Faridabad.

What Happens After Capsule Endoscopy?

After capsule ingestion patient is allowed drink clear liquid after 2 hours and given soft diet after 4hours unless the doctor instructs otherwise. The patient can perform routine daily activity but should avoid vigorous physical activity during the study.

What are the Possible Complications of Capsule Endoscopy?

Although complications can occur, they are rare. The main complications following a capsule enteroscopy are mentioned below. In approximately 1-2 out of 100 procedures, the capsule can become lodged above a stricture (narrowing) of the digestive tract. Patients who have Crohn’s disease or have had abdominal surgery in the past are at increased risk for this complication. An abdominal x-ray may be ordered if the physician is not able to determine that the capsule passed into the large intestine during the course of the study. You can get the best endoscopy in Faridabad by booking an appointment with Dr. Vishal Khurana

Dr Vishal Khurana

MBBS, MD, DM (Gastroenterology), MNAMS

Senior consultant- Gastroenterology

Metro hospital, Faridabad