ASGE Masterclass: Capsule Quest – Journey Through the Future of GI Diagnostics (Virtual) | March 2025-Case Conundrums: Hands-On with Advanced Capsule Tech

Video Transcription

Video Summary

The speaker emphasizes the importance of using professional judgement and native intelligence in managing small bowel disease. They advocate for the same gastroenterologist to both perform capsule endoscopy and deep enteroscopy to ensure comprehensive care. Capsule endoscopy is praised for its non-invasive nature and ability to cover the entire small bowel, particularly in detecting active bleeding. However, it cannot provide therapy, tissue sampling, or precise localization, and can miss certain lesions. Capsule reading can be improved by understanding small bowel characteristics, its motility, and by thinking like the capsule during its journey. The ability to perform deep enteroscopy is highlighted as crucial for enhancing capsule reading skills and decision-making, offering a practical approach to treat detected lesions. Quality capsule reporting and storing video evidence are necessary for effective patient management. Clinical context, like altered anatomy or Crohn’s disease, can complicate capsule readings, often necessitating additional tests like CT imaging. Through various case studies, the speaker illustrates these points, stressing the value of accurate capsule reading and deep enteroscopy in small bowel disease management.

Asset Subtitle

Dr. Carol Semrad

Keywords

small bowel disease

capsule endoscopy

deep enteroscopy

gastroenterologist

non-invasive

lesion detection

clinical context

patient management