Open AccessJournal Article
Capsule endoscopy in patients with cardiac pacemakers, implantable cardioverter defibrillators and left heart assist devices.
TLDR
Application of capsule endoscopy is feasible and safe in patients with implanted cardiac devices such as pacemakers, cardioverter defibrillators, and left heart assist devices, and development of new technologies warrants future re-evaluation.Abstract:
According to the recommendations of the US Food and Drug Administration and manufacturers, capsule endoscopy should not be used in patients carrying implanted cardiac devices. For this review we considered studies indexed (until 30.06.2013) in Medline [keywords: capsule endoscopy, small bowel endoscopy, cardiac pacemaker, implantable cardioverter defibrillator, interference, left heart assist device], technical information from Given Imaging and one own publication (not listed in Medline). Several in vitro and in vivo studies included patients with implanted cardiac devices who underwent capsule endoscopy. No clinically relevant interference was noticed. Initial reports on interference with a simulating device were not reproduced. Furthermore technical data of PillCam (Given Imaging) demonstrate that the maximum transmission power is below the permitted limits for cardiac devices. Hence, impairment of cardiac pacemaker, defibrillator or left ventricular heart assist device function by capsule endoscopy is not expected. However, wireless telemetry can cause dysfunction of capsule endoscopy recording. Application of capsule endoscopy is feasible and safe in patients with implanted cardiac devices such as pacemakers, cardioverter defibrillators, and left heart assist devices. Development of new technologies warrants future re-evaluation.read more
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Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline.
Marco Pennazio,Cristiano Spada,Rami Eliakim,Martin Keuchel,Andrea May,Chris J. J. Mulder,Emanuele Rondonotti,Samuel N. Adler,Joerg G. Albert,Peter Baltes,Federico Barbaro,Christophe Cellier,Jean Pierre Charton,Michel Delvaux,Edward J. Despott,Dirk Domagk,Amir Klein,Mark E. McAlindon,Bruno Rosa,Georgina Rowse,David S Sanders,Jean Christophe Saurin,Reena Sidhu,Jean-Marc Dumonceau,Cesare Hassan,Ian M. Gralnek +25 more
TL;DR: This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy and addresses the roles of small-bowel capsule endoscope and device-assisted enteroscopy for diagnosis and treatment ofsmall-bowe disorders.
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Optimizing lesion detection in small-bowel capsule endoscopy: from present problems to future solutions
TL;DR: The ‘smart’, selective and judicious use of prokinetics in combination with other modalities improves the completion rate of SBCE and the tracking of the capsule within the body is important for the localization of abnormal findings and planning of further therapeutic interventions.
Journal ArticleDOI
Wireless capsule endoscopy of the small intestine: a review with future directions.
TL;DR: Major current clinical indications of capsule endoscopy in the small bowel include evaluation of obscure gastrointestinal bleeding, diagnosis and surveillance of small bowel polyps and tumors, celiac disease and Crohn's disease.
Journal ArticleDOI
Current Controversies Concerning Capsule Endoscopy.
TL;DR: The main indications for the video capsule remain the detection of small intestinal bleeding and iron deficiency anemia, diagnosis and management of Crohn’s disease, and detection of tumors.
Journal ArticleDOI
Overview of technical solutions and assessment of clinical usefulness of capsule endoscopy
TL;DR: The paper shows the possibilities of increasing clinical usefulness of capsule endoscopy resulting from technological limitations and the author’s recommendations concerning the direction of further research and the possibility of enhancing the scope of capsuleendoscopy.
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Electromagnetic Interference of Pacemakers by Mobile Phones
TL;DR: It would be desirable in the future if implanting physicians would use only pacemakers with immunity against mobile phones as guaranteed by the manufacturers, and though 27% of all patients may have problems with D‐net phones (not C‐ or E‐net), the application should generally not be questioned.
Journal ArticleDOI
Prospective Multicenter Performance Evaluation of the Second-Generation Colon Capsule Compared with Colonoscopy
Rami Eliakim,K. Yassin,Yaron Niv,Y. Metzger,Jesse Lachter,E. Ga,B. Sapoznikov,F. Konikoff,G. Leichtmann,Z. Fireman,Yael Kopelman,Samuel N. Adler +11 more
TL;DR: The new second-generation colon capsule endoscopy is a safe and effective method for visualizing the colon and detecting colonic -lesions and has a potential for improved accuracy compared with the first-generation system.
Journal ArticleDOI
First clinical trial of the “MiRo” capsule endoscope by using a novel transmission technology: electric-field propagation
Seungmin Bang,Jeong Youp Park,Seok Jeong,Youngho Kim,Han Bo Shim,Tae Song Kim,Don Haeng Lee,Si Young Song +7 more
TL;DR: MiRo is safe and effective for exploring the entire small bowel, with good image quality and real-time feasibility, and this novel transmission technology may have applications beyond the field of capsule endoscopy.