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November 22, 2009
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Capsule Endoscopy
(Wireless Capsule Endoscopy)

Medical Author: Jay W. Marks, MD
Medical Editor: Dennis Lee, MD

Introduction

Modern endoscopic techniques have revolutionized the diagnosis and treatment of diseases of the upper gastrointestinal tract (esophagus, stomach, and duodenum) and the colon. The last remaining frontier has been the small intestine.

The small intestine has been a difficult organ in which to make diagnoses and treat without performing surgery. Radiological procedures, specifically the upper GI series with small bowel follow-through, which involves following swallowed barium as it passes through the intestine with x-ray films, have been available for diagnosis, but these radiological procedures are time-consuming and are not accurate in identifying small tumors and other subtle abnormalities of the small intestine. The demand for improved capabilities in the small intestine has been less because a minority of intestinal diseases involve the small intestine beyond the reach of the upper gastrointestinal endoscope and the colonoscope. Nevertheless, improved diagnostic and therapeutic capabilities in the small intestine would be very useful, particularly in uncovering the causes of abdominal pain, diarrhea, and anemia due to intestinal loss of blood and diagnosing diseases that may involve only the small intestine, for example, Crohn's disease. One of the newer technologies that expands the diagnostic capabilities in the small intestine is capsule endoscopy also known as wireless capsule endoscopy.



Next: What is capsule endoscopy? »

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Capsule Endoscopy

What is dyspepsia (indigestion)?

Dyspepsia is one of the most common ailments of the bowel (intestines), affecting an estimated 20% of persons in the United States. Perhaps only 10% of those affected actually seek medical attention for their dyspepsia. Dyspepsia is not a particularly good term for the ailment since it implies that there is "dyspepsia" or abnormal digestion of food, and this most probably is not the case. In fact, another common name for dyspepsia is indigestion, which, for the same reason, is no better than the term dyspepsia! Doctors frequently refer to the condition as non-ulcer dyspepsia.

Dyspepsia (indigestion) is best described as a functional disease. (Sometimes, it is called functional dyspepsia.) The concept of functional disease is particularly useful when discussing diseases of the gastrointestinal tract. The concept applies to the muscular organs of the gastrointestinal tract-esophagus, stomach, small intestine, gallbladder...

Read the Indigestion (Dyspepsia, Upset Stomach) article »










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