ASGE Masterclass: Capsule Quest – Journey Through the Future of GI Diagnostics (Virtual) | March 2025-Tech-Savvy Techniques Lucinda Harris

Pdf Summary

The document outlines a master class on capsule endoscopy, focusing on advanced practices and modern technologies employed in the field. Conducted by Lucinda A. Harris from the Mayo Clinic, the course discusses video capsule endoscopy (VCE) in detail, from indications and contraindications to step-by-step procedures for capturing and interpreting images.<br /><br />**Key Topics Covered:**<br /><br />1. **Indications and Contraindications:** <br />   VCE is utilized for conditions like obscure GI bleeding, Crohn’s disease, and surveillance of hereditary polyposis syndromes. Important risks include capsule retention and small bowel obstruction.<br /><br />2. **Devices and Safety:**<br />   Capsule endoscopy is considered safe even in patients with pacemakers and ICDs, though some device interferences (such as LVAD affecting image acquisition) are noted.<br /><br />3. **Technology and Image Capturing:**<br />   Using devices like PillCam, the process includes capturing vast numbers of images and employing features like high magnification and adaptive frame rates to provide detailed imagery.<br /><br />4. **Interpreting VCE Images:**<br />   Reading images requires familiarity with normal variants like lymphoid hyperplasia and differentiating them from pathological anomalies. Techniques include adjusting playback speed and using dual-view modes.<br /><br />5. **Challenges Encountered:**<br />   Mimic phenomena in VCE readings such as air bubbles versus ulcers or bile staining versus bleeding are distinguished by careful observation of visual characteristics and movements.<br /><br />6. **Report Generation:**<br />   Post-study, images and findings are compiled into a structured report containing key findings, comments, and recommendations, ensuring thorough documentation.<br /><br />7. **Types of Capsule Systems:**<br />   Different endoscopy systems are available, including those specifically designed for small bowel, colon, and entire GI tract examinations, each offering unique features tailored to specific diagnostic needs.<br /><br />The document emphasizes the importance of a systematic approach and clinical correlation in interpreting findings, alongside technical aids like dynamic player control and adaptive technologies. By employing a mix of traditional techniques and modern innovations, medical professionals can optimize capsule endoscopy’s utility in gastrointestinal diagnostics.

Asset Caption

Learning Objectives:
1. Get hands-on with the step-by-step process of capsule endoscopy.
2. Meet the tech: Explore different capsule types and the latest in endoscopy technology.

Keywords

capsule endoscopy

video capsule endoscopy

Lucinda A. Harris

Mayo Clinic

GI bleeding

Crohn’s disease

PillCam

image interpretation

endoscopy systems

gastrointestinal diagnostics