Capsule Endoscopy

1
Capsule Endoscopy

• Jessica Blandin
• BME 281
• Professor Yin Sun

2
Gastrointestinal Bleeding

• Is any type of bleeding that occurs in the
  gastrointestinal tract from the pharynx to the
  rectum
• Treatments involves proton pump inhibitors,
  octeotride, and antibiotics (Certain Cases)
• There is also an emphasis on resuscitation by
  infusion of intravenous fluids and blood
  transfusion.
• Gastrointestinal Bleeding is usually discovered
  by Upper endoscopy, Colonoscopy, or Capsule
  Endoscopy.

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Upper endoscopy Colonoscopy

• Upper endoscopy-Procedure that visualizes the
  uses upper part of the gastrointestinal tract up
  to the duodenom

Colonoscopy- examination of the large bowl and
the distal part of the small bowl.
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What is Capsule Endoscopy?

• A way to record images of the digestive tract
  through a small camera in the pill.
• It is the size and shape of a pill. (11x26mm)
• Created in Israel.
• Adopted in the U.S
• Approved by the U.S Food Drug Administration
  2001

5
Structure

• Contains Lens
• 4 emitting diodes
• Color camera
• 2 batteries
• Radio Frequency Transmitter
• Antenna

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Methods

• Patient are required to fast for 12 hours before
  taking the capsule
• Patients drink a Simethicone Solution
• Thirdly, the patients have a belt tied around
  their waste. This belt contains a sensor.
• 3)Next they swallow the capsule. After they
  swallow it they are required to not have anything
  in their mouths for 4 hours.

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Methods Continued

• 4)After 8 hours sensor is removed from them.
• 5) Capsule is then digested from the system.
• 6) The recordings are then downloaded to a
  computer software from the belt.

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Pros Cons

• Identifies bleeding in the small bowel that can
  not be reach
• High Resolution Images

• There are no therapeutic capabilities for it.
• Becoming impacted into a region due to
  inflammatory bowl disease, surgical adhesions
  etc.

9
Results

• 22 Patients were tested
• Capsule had a transit time of 257 minutes in the
  small intestine
• Out of the 22 patients tested only 21 capsules
  were retrieved
• Capsule were intact
• Bleeding sites were identified in 11 of the
  patients

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Conclusion
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Work Cited

• Wikipedia Capsure Endoscopy lthttp//en.wikipedia.
  org/wiki/Capsule_endoscopygt.
• Lewis,Blair M.D,Swain,Paul, MD write a paper.
  Capsule endoscopy in the evaluation of patients
  with suspected small intestinal bleeding,2002
• Koichi, Soga In vivo imaging of intestinal
  helminths by capsule endoscopy,2013
• WikipediaGastro Intestinal Bleedinghttp//en.wik
  ipedia.org/wiki/Gastrointestinal_bleeding
• Wikipedia Upper Endoscopy http//en.wikipedia.org
  /wiki/Upper_endoscopy
• WikipediaColonoscopy http//en.wikipedia.org/wiki
  /Colonoscopy
• Adler,Douglas MDWireless Capsule Endoscopy