Findings in the Upper GI Tract
摘要
Some images of the oral cavity are frequently seen during video capsule endoscopy (VCE). Improved illumination allows better visualization of native or treated teeth or dentures. Images of the oral cavity with tongue and palatine are often captured, whereas the uvula and epiglottis are less frequently seen. Detailed visualization of the arytenoid cartilage or larynx is rare and suggestive for swallowing disorder especially in conjunction with a long stay of the capsule in the oropharyngeal region. The distal body and antrum of the stomach are often clearly visualized by VCE, whereas the proximal portions are not. Changing the patient’s position after capsule ingestion may increase the diagnostic yield in the stomach, but even so, all of the stomach cannot be reliably evaluated with VCE. Attention should be given to any gastric pathology that may be observable at VCE, as bleeding lesions in the stomach may have been missed at prior esophagogastroduodenoscopy. Recently, VCE images of stomach are dramatically changing, because new VCE such as CapsoCam Plus that utilizes four cameras to capture a panoramic view and magnetically controlled capsule endoscopy were developed.