CAPSULE ENDOSCOPY

Capsule Endoscopy

ICapsule endoscopy is a procedure that uses a tiny wireless camera to take pictures of digestive tract from inside. A capsule endoscopy camera sits inside a vitamin-size capsule which is swallowed and as the capsule travels through the digestive tract, the camera takes thousands of pictures which can be retrieved with the help of a specialized software and are interpreted by an expert later on.
Patient may need to undergo a CT scan abdomen to rule out narrowing of digestive tract which may halt the passage of capsule and may cause intestinal obstruction.

Our area of clinical expertise include:

Indications
❖ Iron deficiency anemia to rule out obscure small intestinal bleed ❖ Early signs of gastrointestinal cancer ❖ Abdominal pain ❖ Crohn’s disease ❖ Celiac disease ❖ Unexplained bleeding ❖ Ulcers
Pre-procedure preparation:

Do not take anything orally from the night before the procedure. You may need to take a purgative to cleanse your digestive tract to for better visualization. No need to stop the blood thinning agents, however, timings of the anti-diabetic medicines may need to be adjusted.

Procedure

A pill of the size of a multi-vitamin capsule is removed from the sealed pack and is swallowed with water once its camera is activated as indicated by the blinking of light. Clear liquids are allowed after 2 hours of ingestion of the capsule. A strainer is given and the patient needs to use it every time he/she passes stool so that capsule can be retrieved whenever it passes in the stool. It is thoroughly rinsed with water without touching it with hands and then with the help of the magnetic rod it is transferred to the container and sealed. The images captured by capsule are retrieved with the help of the specialized software. The doctor interprets the thousands of images and gives the diagnosis. Patient can resume normal diet and activity once the capsule is retrieved.

Limitations:
❖ Some part of the small intestine may not be clearly seen due to rapid transit of the capsule or the blurring of image by food or feces ❖ If it takes more than 8 hours for the capsule to pass through small intestine, its battery may wear out and it may fail to take photographs of the remaining small intestine
Complications
❖ Usually a safe procedure ❖ Sometimes, it may take longer for the capsule to come out, however, if patient is not having any pain or vomiting, he/she can wait patiently ❖ Rarely, it may cause intestinal obstruction requiring surgery to remove the stuck capsule

DEPT OF MEDICAL GASTROENTEROLOGY

DR. K. K RAWAL (MD, DM – GASTRO)
DR. AVVAL . K SADIKOT (MD, DNB-GASTRO)
DR. CHINTAN H . KANSAGRA (MD,DNB – GASTRO)
DR. CHINTAN M . MORI (MD,DNB – GASTRO)