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Radiologic Investigations Complement and Add Diagnostic Information to Capsule Endoscopy of Small-Bowel Diseases

¹ Department of Radiology, Indiana University School of Medicine and Indiana University Hospital, 550 N University Blvd., UH 0279, Indianapolis, IN 46202-5253.
² Division of Gastroenterology, Indiana University School of Medicine, Indianapolis, IN.

Abstract

OBJECTIVE. The purpose of our study was to review how commonly performed radiologic examinations compare with capsule endoscopy in the investigation of small-bowel diseases, to analyze the limitations of capsule imaging, and to propose an algorithm for use of specific radiologic examinations to complement wireless capsule endoscopy.

CONCLUSION. The diagnostic yield of capsule endoscopy is superior to that of radiologic examinations except air double-contrast enteroclysis for mucosal details. Radiologic investigations find new applications in clinical practice by complementing capsule endoscopy to overcome its limitations.

Keywords: barium studies • capsule endoscopy • Crohn's disease • CT enteroclysis • CT enterography • small-bowel diseases

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