ASGE Masterclass: Capsule Quest – Journey Through the Future of GI Diagnostics (Virtual) | March 2025-Let’s Get Curious: Q&A Session

Video Transcription

Video Summary

The discussion focuses on the use and safety of capsule endoscopy in various gastrointestinal contexts. In patients with altered small bowel anatomy from a Roux-en-Y surgery, capsule endoscopy is deemed safe unless there's a history of bowel obstruction. Furthermore, considerations for repeating capsule endoscopy could be dictated by symptoms of Crohn’s disease or unexplained symptoms after a negative exam. There are concerns over the inter-reliability among readers when interpreting capsule images, but advancements in AI may improve detection, especially of bleeding. The session also touches on the safe use of capsule endoscopy in pregnancy, with cautious approaches recommended. Endoscopic placement of capsules in hospitalized patients can be necessary, particularly with conditions like gastroparesis. Efficient timing in performing deep enteroscopy after detecting bleeding via a capsule is emphasized, with a preference for performing procedures promptly. The discussion advocates for radiologists’ expertise in interpreting CT or MRE for Crohn’s and other gastrointestinal diseases.

Keywords

capsule endoscopy

gastrointestinal

Crohn's disease

Roux-en-Y surgery

AI detection