The role of videocapsule endoscopy in the diagnosis and follow-up of celiac disease: a scoping review.

IF 3.8 3区医学 Q2 GASTROENTEROLOGY & HEPATOLOGY

Expert Review of Gastroenterology & Hepatology Pub Date : 2024-10-01 Epub Date: 2024-11-04 DOI:10.1080/17474124.2024.2422372

Roberta Elisa Rossi, Valeria Poletti, Benedetta Masoni, Angelo Zullo, Matteo Colombo, Cesare Hassan, Alessandro Repici

{"title":"The role of videocapsule endoscopy in the diagnosis and follow-up of celiac disease: a scoping review.","authors":"Roberta Elisa Rossi, Valeria Poletti, Benedetta Masoni, Angelo Zullo, Matteo Colombo, Cesare Hassan, Alessandro Repici","doi":"10.1080/17474124.2024.2422372","DOIUrl":null,"url":null,"abstract":"Introduction: Videocapsule endoscopy (VCE) may be a complementary tool in the diagnosis of celiac disease (CD) in cases with equivocal findings and in the follow-up of complicated cases. We aimed to summarize the literature on the utilization of VCE in CD diagnosis/follow-up.Methods: A computerized literature search was performed to identify pertinent articles published between January 2010 and January 2024.Results: Three studies focused on VCE in diagnosing CD, involving a total of 186 patients. VCE was performed due to small bowel atrophy with negative serology (19 patients), positive serology with negative histology (40 patients), contraindications/refusal to undergo esophagogastroduodenoscopy (6 patients), high clinical suspicion of CD despite negative serology and/or small bowel atrophy (99 patients), research purpose (22 patients). Twenty studies focused on the follow-up, involving a total of 1337 patients. VCE was performed due to positive serology despite GFD (64 patients), persistent symptoms (389 patients), known/suspected refractory CD-RCD (448 patients), not specified (436 patients). VCE revealed RCD in 243 patients, ulcerative jejunoileitis in 32, T-cell lymphoma in 18, small bowel tumor in one.Conclusions: VCE may play a role in patients with equivocal CD diagnosis and in those with suspected complications, particularly RCD. Further studies are warranted to draw more solid conclusions.","PeriodicalId":12257,"journal":{"name":"Expert Review of Gastroenterology & Hepatology","volume":" ","pages":"673-679"},"PeriodicalIF":3.8000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Expert Review of Gastroenterology & Hepatology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17474124.2024.2422372","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/11/4 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Introduction: Videocapsule endoscopy (VCE) may be a complementary tool in the diagnosis of celiac disease (CD) in cases with equivocal findings and in the follow-up of complicated cases. We aimed to summarize the literature on the utilization of VCE in CD diagnosis/follow-up.

Methods: A computerized literature search was performed to identify pertinent articles published between January 2010 and January 2024.

Results: Three studies focused on VCE in diagnosing CD, involving a total of 186 patients. VCE was performed due to small bowel atrophy with negative serology (19 patients), positive serology with negative histology (40 patients), contraindications/refusal to undergo esophagogastroduodenoscopy (6 patients), high clinical suspicion of CD despite negative serology and/or small bowel atrophy (99 patients), research purpose (22 patients). Twenty studies focused on the follow-up, involving a total of 1337 patients. VCE was performed due to positive serology despite GFD (64 patients), persistent symptoms (389 patients), known/suspected refractory CD-RCD (448 patients), not specified (436 patients). VCE revealed RCD in 243 patients, ulcerative jejunoileitis in 32, T-cell lymphoma in 18, small bowel tumor in one.

Conclusions: VCE may play a role in patients with equivocal CD diagnosis and in those with suspected complications, particularly RCD. Further studies are warranted to draw more solid conclusions.

查看原文本刊更多论文

视频胶囊内镜在乳糜泻诊断和随访中的作用：范围综述。

简介视频胶囊内镜（VCE）可作为诊断乳糜泻（CD）的辅助工具，用于诊断结果不明确的病例和随访复杂病例。我们旨在总结有关在 CD 诊断/随访中使用 VCE 的文献：方法：进行计算机文献检索，找出 2010 年 1 月至 2024 年 1 月间发表的相关文章：结果：3项研究关注VCE在CD诊断中的应用，共涉及186名患者。进行VCE的原因包括血清学阴性的小肠萎缩（19例患者）、组织学阴性的血清学阳性（40例患者）、禁忌症/拒绝接受食管胃十二指肠镜检查（6例患者）、尽管血清学阴性和/或小肠萎缩但临床高度怀疑CD（99例患者）、研究目的（22例患者）。20 项研究侧重于随访，共涉及 1337 名患者。进行 VCE 的原因包括血清学阳性但 GFD 仍然存在（64 例患者）、症状持续存在（389 例患者）、已知/疑似难治性 CD-RCD （448 例患者）、未指定原因（436 例患者）。VCE发现243名患者患有RCD，32名患者患有溃疡性空肠炎，18名患者患有T细胞淋巴瘤，1名患者患有小肠肿瘤：结论：VCE 可在 CD 诊断不明确的患者和疑似并发症（尤其是 RCD）患者中发挥作用。要得出更可靠的结论，还需要进一步的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Expert Review of Gastroenterology & Hepatology GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

6.80

自引率

2.60%

发文量

审稿时长

6-12 weeks

期刊介绍： The enormous health and economic burden of gastrointestinal disease worldwide warrants a sharp focus on the etiology, epidemiology, prevention, diagnosis, treatment and development of new therapies. By the end of the last century we had seen enormous advances, both in technologies to visualize disease and in curative therapies in areas such as gastric ulcer, with the advent first of the H2-antagonists and then the proton pump inhibitors - clear examples of how advances in medicine can massively benefit the patient. Nevertheless, specialists face ongoing challenges from a wide array of diseases of diverse etiology.