capsule-endoscopy ppt (2) - copy

8/16/2019 Capsule-Endoscopy PPT (2) - Copy

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Capsule EndoscopyCapsule Endoscopy

GUIDED BYGUIDED BY

SMITHA SATHEESHSMITHA SATHEESH

ASSISTANT PROFESSOR ASSISTANT PROFESSOR

DEPT. OF ECEDEPT. OF ECE

CETCET

PRESENTED BYMANEESHA M.S.

S AEI

RO!! NO" #$

CET



!ea%n&n' O()ec*&+es!ea%n&n' O()ec*&+es

Ho, does capsule endoscopy ,o%-Ho, does capsule endoscopy ,o%-

Ho, does a pa*&en* need *o (e p%epa%edHo, does a pa*&en* need *o (e p%epa%ed

/0a* a%e *0e &nd&ca*&ons1 con*%a&nd&ca*&ons1/0a* a%e *0e &nd&ca*&ons1 con*%a&nd&ca*&ons1

capsule endoscopycapsule endoscopy

Case s*udyCase s*udy



H&s*o%y o2 EndoscopyH&s*o%y o2 Endoscopy

T0e 2&%s* %eal endoscope *0a* ,asT0e 2&%s* %eal endoscope *0a* ,as

de+eloped ,as 3ade (y P0&ll&p Bo44&n& &nde+eloped ,as 3ade (y P0&ll&p Bo44&n& &n

5678 *o e9a3&ne *0e u%e*0%a1 *0e (ladde%5678 *o e9a3&ne *0e u%e*0%a1 *0e (ladde%

and +a'&na.and +a'&na.



Bo44&n&:sBo44&n&:s Lichtleiter Lichtleiter



H&s*o%y o2 EndoscopyH&s*o%y o2 Endoscopy

In 5;#<1G.and R. Sc0&ndle% p&onee%edIn 5;#<1G.and R. Sc0&ndle% p&onee%ed3e*0odolo'&es 2o% &nspec*&n' *0e 3ucosa o2 *0e3e*0odolo'&es 2o% &nspec*&n' *0e 3ucosa o2 *0e'as*%o&n*es*&nal =GI> *%ac* ,&*0 se3&?2le9&(le'as*%o&n*es*&nal =GI> *%ac* ,&*0 se3&?2le9&(leendoscopes1pa+&n' *0e ,ay *o *0e ad+en* o2endoscopes1pa+&n' *0e ,ay *o *0e ad+en* o2

endoscop&c p%ocedu%es .endoscop&c p%ocedu%es . Fle9&(le endoscopes ,0&c0 a%e &n*%oduced &n*oFle9&(le endoscopes ,0&c0 a%e &n*%oduced &n*o

*0e o%al o% %ec*al o%&2&ces.*0e o%al o% %ec*al o%&2&ces.



Sc0&ndle%:s Gas*%oscopeSc0&ndle%:s Gas*%oscope




Capsule endoscopy ,as 2&%s* used &nCapsule endoscopy ,as 2&%s* used &n

0u3ans &n 5;;;.0u3ans &n 5;;;.

F&%s* pu(l&ca*&on on capsule endoscopyF&%s* pu(l&ca*&on on capsule endoscopy,as pu(l&s0ed &n,as pu(l&s0ed &n NatureNature &n <777"&n <777"

Iddan G1 Me%on G1 Glu-0o+s-y A1 S,a&n P.Iddan G1 Me%on G1 Glu-0o+s-y A1 S,a&n P.

/&%eless capsule Endoscopy./&%eless capsule Endoscopy. NatureNature. <777@. <777@

$78"$5.$78"$5.




T0e 3a)o% co3pan&es 0a+e capsuleT0e 3a)o% co3pan&es 0a+e capsule

endoscopy p%oduc*s.endoscopy p%oduc*s.G&+en I3a'&n' 0as *0e P&llCa3G&+en I3a'&n' 0as *0e P&llCa3

Oly3pus 0as *0e EndoCapsuleOly3pus 0as *0e EndoCapsule

C0on'&n' &ns0an Sc&ence and Tec0nolo'yC0on'&n' &ns0an Sc&ence and Tec0nolo'y

0as OMOM capsule.0as OMOM capsule.

In*%o3ed&c Co. 0as M&Ro capsule.In*%o3ed&c Co. 0as M&Ro capsule.



Types o2 Endoscop&c CapsulesTypes o2 Endoscop&c Capsules



P%ep 2o% Capsule EndoscopyP%ep 2o% Capsule Endoscopy

O%al &%on s0ould (e s*opped # days (e2o%eO%al &%on s0ould (e s*opped # days (e2o%e

*0e s*udy.*0e s*udy.

Pa*&en* s0ould (e NPO 2o% 5< 0ou%s p%&o% *oPa*&en* s0ould (e NPO 2o% 5< 0ou%s p%&o% *o

p%ocedu%e.p%ocedu%e.

Colon&c (o,el p%ep 3ay &3p%o+e *0e ual&*yColon&c (o,el p%ep 3ay &3p%o+e *0e ual&*y

o2 &3a'es &n *0e &leu31 ,0&c0 can appea%o2 &3a'es &n *0e &leu31 ,0&c0 can appea%da%-.da%-.

Typ&cal esop0a'us e9a3&na*&on *a-es a(ou*Typ&cal esop0a'us e9a3&na*&on *a-es a(ou*

<7 3&nu*es.<7 3&nu*es.



Ho, does Capsule Endoscopy /o%-Ho, does Capsule Endoscopy /o%-

Capsule &s &n&*&ally s*o%ed &n a case con*a&n&n' a 3a'ne* *0a*Capsule &s &n&*&ally s*o%ed &n a case con*a&n&n' a 3a'ne* *0a*&n0&(&*s capsule ac*&+a*&on. Once &* *a-en ou* o2 *0e case1 *0e&n0&(&*s capsule ac*&+a*&on. Once &* *a-en ou* o2 *0e case1 *0e!EDs s*a%* *o 2las0 and *0e capsule s*a%* *o *%ans3&*.!EDs s*a%* *o 2las0 and *0e capsule s*a%* *o *%ans3&*.

E&'0* ae%&al leads *0a* a%e a**ac0ed a%ound *0e pa*&en*:sE&'0* ae%&al leads *0a* a%e a**ac0ed a%ound *0e pa*&en*:sa(do3en collec* da*a.a(do3en collec* da*a.

Capsule &n'es*ed as any o*0e% capsule.Capsule &n'es*ed as any o*0e% capsule. Pa*&en* can d%&n- clea%s &33ed&a*ely1 (u* no sol&d 2ood 2o% #Pa*&en* can d%&n- clea%s &33ed&a*ely1 (u* no sol&d 2ood 2o% #

0ou%s.0ou%s. A**ac0ed *o *0e leads &s *0e %eco%de% and *0e pa*&en* s0ould A**ac0ed *o *0e leads &s *0e %eco%de% and *0e pa*&en* s0ould

%epo%* (ac- &2 &* s*ops %eco%d&n' 2o% any %eason.%epo%* (ac- &2 &* s*ops %eco%d&n' 2o% any %eason. Bel* and ae%&al s0ould (e ,o%n 2o% 6 0ou%s a2*e% s,allo,&n' o%Bel* and ae%&al s0ould (e ,o%n 2o% 6 0ou%s a2*e% s,allo,&n' o%

un*&l *0e %eco%de% s*ops %eco%d&n'.un*&l *0e %eco%de% s*ops %eco%d&n'. Reco%de% and ae%&als a%e %e*u%ned1 (u* *0eReco%de% and ae%&als a%e %e*u%ned1 (u* *0e capsule iscapsule is

disposable! disposable! I3a'es a%e do,nloaded and p%ocessed p%&o% *o &n*e%p%e*a*&on.I3a'es a%e do,nloaded and p%ocessed p%&o% *o &n*e%p%e*a*&on.



Place3en* o2 Ae%&al !eadsPlace3en* o2 Ae%&al !eads



G&+en I3a'&n' Rap&d &e,&n'G&+en I3a'&n' Rap&d &e,&n'

Sc%eenSc%een



Ind&ca*&ons 2o% Capsule EndoscopyInd&ca*&ons 2o% Capsule Endoscopy

A(solu*e Ind&ca*&on A(solu*e Ind&ca*&on Recu%%en* o% con*&nued GI (leed&n' ,&*0 ne'a*&+eRecu%%en* o% con*&nued GI (leed&n' ,&*0 ne'a*&+e

EGD1 colonoscopy1 and pus0 en*e%oscopyEGD1 colonoscopy1 and pus0 en*e%oscopy

S*%on' Ind&ca*&onS*%on' Ind&ca*&on Recu%%en* o% con*&nued GI (leed&n' ,&*0 ne'a*&+eRecu%%en* o% con*&nued GI (leed&n' ,&*0 ne'a*&+e

EGD and colonoscopy1 espec&ally &2 e9a3s 0a+eEGD and colonoscopy1 espec&ally &2 e9a3s 0a+e

(een %epea*ed (y e9pe%&enced endoscop&s*.(een %epea*ed (y e9pe%&enced endoscop&s*.

Pe%s&s*en* &%on de2&c&ency ane3&a ,&*0 ne'a*&+ePe%s&s*en* &%on de2&c&ency ane3&a ,&*0 ne'a*&+eEGD and ColonoscopyEGD and Colonoscopy



Ind&ca*&ons 2o% Capsule EndoscopyInd&ca*&ons 2o% Capsule Endoscopy

E3e%'&n' Ind&ca*&onsE3e%'&n' Ind&ca*&ons Sy3p*o3sIn2la33a*o%y 3a%-e%s su''es*&n'Sy3p*o3sIn2la33a*o%y 3a%-e%s su''es*&n'

C%o0n:s d&sease ,&*0 ne'a*&+e &3a'&n'C%o0n:s d&sease ,&*0 ne'a*&+e &3a'&n' In+es*&'a*&on o2 un%espons&+e Cel&ac d&seaseIn+es*&'a*&on o2 un%espons&+e Cel&ac d&sease /0&pple:s D&sease/0&pple:s D&sease G%a2* s. Hos* d&seaseG%a2* s. Hos* d&sease HIHI

In*es*&nal pa%as&*os&sIn*es*&nal pa%as&*os&s Peu*4?e'0e%s polypos&sPeu*4?e'0e%s polypos&s



Con*%a&nd&ca*&ons *o CapsuleCon*%a&nd&ca*&ons *o Capsule

EndoscopyEndoscopy P%esence o2 -no,n &n*es*&nal s*%&c*u%es1P%esence o2 -no,n &n*es*&nal s*%&c*u%es1

2&s*ulas1 o% o(s*%uc*&on2&s*ulas1 o% o(s*%uc*&on

S3all c0&ld%enS3all c0&ld%en

Pa*&en*s ,&*0 s,allo,&n' d&so%de%sPa*&en*s ,&*0 s,allo,&n' d&so%de%s

T0e%e 0as (een so3e conce%n *0a* *0e%e &s aT0e%e 0as (een so3e conce%n *0a* *0e%e &s a

%&s- o2 &n*e%2e%&n' ,&*0 pace3a-e%s due *o *0e%&s- o2 &n*e%2e%&n' ,&*0 pace3a-e%s due *o *0e

p%o9&3&*y o2 *0e senso% a%%ays placed on *0ep%o9&3&*y o2 *0e senso% a%%ays placed on *0epa*&en*s: c0es*s1 (u* no s&'n&2&can* *%&als 0a+epa*&en*s: c0es*s1 (u* no s&'n&2&can* *%&als 0a+e

con2&%3ed *0&s 2ea%.con2&%3ed *0&s 2ea%.



Case S*udy 5Case S*udy 5

HPI" <?yea% old ,o3an ,&*0 une9pla&ned &%onHPI" <?yea% old ,o3an ,&*0 une9pla&ned &%onde2&c&ency ane3&a. H'( 571 MC 6<1 RD/ 5#.de2&c&ency ane3&a. H'( 571 MC 6<1 RD/ 5#.T0%ee ca%ds 2o% FOBT all pos&*&+e. S0e 0asT0%ee ca%ds 2o% FOBT all pos&*&+e. S0e 0as

Gauc0e%:s D&sease ,&*0 %esul*&n' pla*ele*Gauc0e%:s D&sease ,&*0 %esul*&n' pla*ele*dys2unc*&on.dys2unc*&on.

P* 0ad a no%3al EGD and colonoscopy $ 3on*0sP* 0ad a no%3al EGD and colonoscopy $ 3on*0s

ea%l&e%. CT Scan ,as done and ,as ne'a*&+e.ea%l&e%. CT Scan ,as done and ,as ne'a*&+e.

FH9" cel&ac d&seaseFH9" cel&ac d&sease




Capsule Endoscopy P&c*u%es"Capsule Endoscopy P&c*u%es"




Capsule endoscopy s0o,s 3ul*&ple su(3ucosalCapsule endoscopy s0o,s 3ul*&ple su(3ucosal3asses. So3e a%e ulce%a*ed and (leed&n'.3asses. So3e a%e ulce%a*ed and (leed&n'.T0ese a%e loca*ed &n *0e 3&d?s3all (o,el. AT0ese a%e loca*ed &n *0e 3&d?s3all (o,el. A

p%esu3p*&+e d&a'nos&s o2 3ul*&cen*%&c ca%c&no&d &sp%esu3p*&+e d&a'nos&s o2 3ul*&cen*%&c ca%c&no&d &s3ade.3ade.

T0e pa*&en* unde%'oes su%'e%y 'u&ded (yT0e pa*&en* unde%'oes su%'e%y 'u&ded (y

&n*%aope%a*&+e endoscopy. Mul*&ple ca%c&no&d&n*%aope%a*&+e endoscopy. Mul*&ple ca%c&no&d*u3o%s a%e d&sco+e%ed and a 3&d?s3all (o,el*u3o%s a%e d&sco+e%ed and a 3&d?s3all (o,el

%esec*&on &s pe%2o%3ed.%esec*&on &s pe%2o%3ed.



ADANTAGES ADANTAGES

Capsule endoscopy ena(les &nspec*&on o2Capsule endoscopy ena(les &nspec*&on o2

d&'es*&+e sys*e3 ,&*0ou* d&sco32o%*.d&'es*&+e sys*e3 ,&*0ou* d&sco32o%*.

No need 2o% seda*&on.No need 2o% seda*&on.

T0us encou%a'&n' pa*&en*s *o unde%'o GIT0us encou%a'&n' pa*&en*s *o unde%'o GI

*%ac* e9a3&na*&ons.*%ac* e9a3&na*&ons.



CONC!USIONCONC!USIONM&les*one &n *0e e+olu*&on o2 endoscop&cM&les*one &n *0e e+olu*&on o2 endoscop&c

p%ocedu%es1allo,s e22&c&en* d&a'nos&s o2 GIp%ocedu%es1allo,s e22&c&en* d&a'nos&s o2 GI

*%ac* pa*0olo'&es1&.e1(a%%e**%ac* pa*0olo'&es1&.e1(a%%e*

esop0a'us.oo(scu%e (leed&n'1&%on?esop0a'us.oo(scu%e (leed&n'1&%on?

de2&c&ency ane3&a .de2&c&ency ane3&a . I* %ep%esen*s an appeal&n' al*e%na*&+e *oI* %ep%esen*s an appeal&n' al*e%na*&+e *o

*%ad&*&onal endoscopy p%e+en*&n'*%ad&*&onal endoscopy p%e+en*&n'

d&sco32o%* and need 2o% seda*&on.d&sco32o%* and need 2o% seda*&on.De+elop3en* o2 sys*e3s 2o% app%oac0&n'De+elop3en* o2 sys*e3s 2o% app%oac0&n'

o*0e% a%eas &n 0u3an (ody suc0 aso*0e% a%eas &n 0u3an (ody suc0 as

+ascula%sys*e3 &s &n p%o'%ess.+ascula%sys*e3 &s &n p%o'%ess.



REFERENCESREFERENCES

Gas*one c&u*&13e3(e%1IEEE1A%&annaGas*one c&u*&13e3(e%1IEEE1A%&anna

Menc&ass&1Me3(e%1IEEE1and PaoloMenc&ass&1Me3(e%1IEEE1and Paolo

Da%&o1F ello,1IEEEDa%&o1F ello,1IEEE

0**p",,,.capsuleendoscopy.o%'0**p",,,.capsuleendoscopy.o%'

0**p",,,.oly3pusa3e%&ca.co33s'sec*0**p",,,.oly3pusa3e%&ca.co33s'sec*&onendocapsule&nde9.asp&onendocapsule&nde9.asp



Re2e%encesRe2e%ences

Ac0o%d !. T0e H&s*o%y o2 Gas*%o&n*es*&nal Endoscopy. In" G&ns(e%' GG1 Ac0o%d !. T0e H&s*o%y o2 Gas*%o&n*es*&nal Endoscopy. In" G&ns(e%' GG1

oc03an M!1 No%*on I1 Gos*ou* C1 Eds.oc03an M!1 No%*on I1 Gos*ou* C1 Eds. Clinical GastrointestinalClinical Gastrointestinal

Endoscopy.Endoscopy. Else+&e% Saunde%s@ <778" #?55. Else+&e% Saunde%s@ <778" #?55.

Ba&c0& MM1 A%&2udd&n RM1 Man*%y PS. /0a* ,e lea%ned 2%o3 8 cases o2Ba&c0& MM1 A%&2udd&n RM1 Man*%y PS. /0a* ,e lea%ned 2%o3 8 cases o2

pe%3anen* capsule %e*en*&on.pe%3anen* capsule %e*en*&on. Gastrointestinal Endoscopy.Gastrointestinal Endoscopy. <77@ $ =<>"<77@ $ =<>"<6#?<6.<6#?<6.

Fo%*un1 P1 S,a&n1 CP. Capsule Endoscopy. In" /e&ns*e&n /M1 Ha,-ey C1Fo%*un1 P1 S,a&n1 CP. Capsule Endoscopy. In" /e&ns*e&n /M1 Ha,-ey C1

Bosc0 1 Eds.Bosc0 1 Eds. Clinical Gastroenterology and Hepatology.Clinical Gastroenterology and Hepatology. Else+&e% Mos(y@Else+&e% Mos(y@

<778" ;58?;<7.<778" ;58?;<7.

Hau(%&c0 /S1 Ed3onson M. H&s*o%y o2 Endoscopy. In"Hau(%&c0 /S1 Ed3onson M. H&s*o%y o2 Endoscopy. In" S&+a-1 MS&+a-1 M1 Ed.1 Ed.

Gastroenterologic Endoscopy.Gastroenterologic Endoscopy. /.B. Saunde%s@ <777" <?58. /.B. Saunde%s@ <777" <?58.



THAN YOUTHAN YOU

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