kapselendoskopi (LH Indholdsside)

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      <HtmlField Name="PageContent"><![CDATA[<h2>Definition</h2>
<ul>
    <li>Kapselendoskopi kan anvendes til unders&oslash;gelse af hele tarmsystemet som supplement til andre endoskopiske/billeddiagnostiske unders&oslash;gelser<a href=" " data-type="journal-reference" data-value="Robertson KD, Singh R, Capsule Endoscopy.  2023;: " data-value-piped="Robertson KD, Singh R|Capsule Endoscopy.||2023|||29493931" data-url="reference-link" data-pubmedid="29493931" title="Robertson KD, Singh R, Capsule Endoscopy.  2023;: ">1</a></li>
    <li>Kapslen har indbygget kamera, lyskilde og batteri<a href=" " data-type="journal-reference" data-value="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K, Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy 2023;55: 58-95" data-value-piped="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K|Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022.|Endoscopy|2023|55|58-95|36423618" data-url="reference-link" data-pubmedid="36423618" title="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K, Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy 2023;55: 58-95">2</a></li>
    <li>Patienten sluger kapslen</li>
</ul>
<h2>Aktuelle indikationer</h2>
<ul>
    <li>Mulig&nbsp;bl&oslash;dningskilde i tyndtarmen eller <a href="~/link.aspx?_id=7C3C6EF3B3BE4C7AA66DC32DA809FE83&amp;_z=z">Crohns sygdom</a> er to v&aelig;sentlige indikationer<a href=" " data-type="journal-reference" data-value="Robertson KD, Singh R, Capsule Endoscopy.  2023;: " data-value-piped="Robertson KD, Singh R|Capsule Endoscopy.||2023|||29493931" data-url="reference-link" data-pubmedid="29493931" title="Robertson KD, Singh R, Capsule Endoscopy.  2023;: ">1</a>,<a href="EditorPage.aspx?da=core&amp;id=%7B319E96AB-1A14-4764-9869-45ED00488AEF%7D&amp;ed=FIELD452832384&amp;vs&amp;la=da&amp;fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&amp;so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&amp;di=0&amp;hdl=H452832449&amp;mo&amp;pe=0&amp;fbd=1" data-type="journal-reference" data-value="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K, Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy 2023;55: 58-95" data-value-piped="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K|Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022.|Endoscopy|2023|55|58-95|36423618" data-url="reference-link" data-pubmedid="36423618" title="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K, Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy 2023;55: 58-95">2</a></li>
    <li>Screening for colorectal neoplasi hos udvalgte patienter<a href="EditorPage.aspx?da=core&amp;id=%7B319E96AB-1A14-4764-9869-45ED00488AEF%7D&amp;ed=FIELD18945193903&amp;vs&amp;la=da&amp;fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&amp;so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&amp;di=0&amp;hdl=H18945193963&amp;us=sitecore%5Colhn&amp;mo&amp;pe=0&amp;fbd=1" data-type="journal-reference" data-value="Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR, Video capsule endoscopy.. Gastrointest Endosc 2021;93: 784-796" data-value-piped="Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR|Video capsule endoscopy.|Gastrointest Endosc|2021|93|784-796|33642034" data-url="reference-link" data-pubmedid="33642034" title="Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR, Video capsule endoscopy.. Gastrointest Endosc 2021;93: 784-796">3</a></li>
    <li>Anden relevant diagnostik (gastroskopi og koloskopi) b&oslash;r altid udf&oslash;res, f&oslash;r der ordineres en kapselendoskopi</li>
</ul>
<h3>Kliniske problemstillinger</h3>
<ul>
    <li>Kapselendoskopi muligg&oslash;r visualisering af mucosaoverfladen af hele gastrointestinalkanalen p&aring; en minimal invasiv m&aring;de. Denne teknik kan bl.a. anvendes ved mistanke om sygdom i tyndtarmen, fx obskur gastrointestinal bl&oslash;dning eller Crohns sygdom</li>
    <li>B&oslash;r udf&oslash;res hvis b&aring;de den &oslash;vre og nedre endoskopi er negativ
    <ul>
        <li>&Aring;rsagen kan eksempelvis v&aelig;re angiodysplasi, hvilket ikke ses p&aring; r&oslash;ntgen </li>
        <li>Kapselendoskopi vil typisk v&aelig;re forunders&oslash;gelse til en enteroskopi</li>
        <li>I udvalgte tilf&aelig;lde, hvor kolonoskopi ikke kan gennemf&oslash;res/ikke tolereres</li>
    </ul>
    </li>
</ul>
<h2>Kontraindikationer</h2>
<ul>
    <li>Relative kontraindikationer er graviditet og mist&aelig;nkt striktur i tarmen </li>
</ul>
<h2>Unders&oslash;gelsen</h2>
<h3>Kapslen</h3>
<ul>
    <li>Der findes flere forskellige systemer/fabrikater, som alle kan anvendes<a href=" " data-type="journal-reference" data-value="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K, Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy 2023;55: 58-95" data-value-piped="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K|Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022.|Endoscopy|2023|55|58-95|36423618" data-url="reference-link" data-pubmedid="36423618" title="Pennazio M, Rondonotti E, Despott EJ, Dray X, Keuchel M, Moreels T, Sanders DS, Spada C, Carretero C, Cortegoso Valdivia P, Elli L, Fuccio L, Gonzalez Suarez B, Koulaouzidis A, Kunovsky L, McNamara D, Neumann H, Perez-Cuadrado-Martinez E, Perez-Cuadrado-Robles E, Piccirelli S, Rosa B, Saurin JC, Sidhu R, Tacheci I, Vlachou E, Triantafyllou K, Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline - Update 2022. Endoscopy 2023;55: 58-95">2</a>,<a href="EditorPage.aspx?da=core&amp;id=%7B319E96AB-1A14-4764-9869-45ED00488AEF%7D&amp;ed=FIELD18945193903&amp;vs&amp;la=da&amp;fld=%7B850D32D3-55A1-49E4-9CDF-F0C88D91563C%7D&amp;so=%2Fsitecore%2Fsystem%2FSettings%2FHtml%20Editor%20Profiles%2FRich%20Text%20LHPH&amp;di=0&amp;hdl=H18945193963&amp;us=sitecore%5Colhn&amp;mo&amp;pe=0&amp;fbd=1" data-type="journal-reference" data-value="Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR, Video capsule endoscopy.. Gastrointest Endosc 2021;93: 784-796" data-value-piped="Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR|Video capsule endoscopy.|Gastrointest Endosc|2021|93|784-796|33642034" data-url="reference-link" data-pubmedid="33642034" title="Melson J, Trikudanathan G, Abu Dayyeh BK, Bhutani MS, Chandrasekhara V, Jirapinyo P, Krishnan K, Kumta NA, Pannala R, Parsi MA, Sethi A, Trindade AJ, Watson RR, Maple JT, Lichtenstein DR, Video capsule endoscopy.. Gastrointest Endosc 2021;93: 784-796">3</a></li>
    <li>Billedmaterialet transmitteres til lagring p&aring; en ekstern harddisk</li>
    <li>Kapslen kan ikke bruges igen, og den kvitteres med aff&oslash;ringen efter brug</li>
    <li>Harddisken indeholder ved unders&oslash;gelsens afslutning flere tusinde enkeltbilleder, som kan afspilles som &eacute;n&nbsp;lang videofilm i variabel hastighed </li>
    <li>Kapslen f&oslash;res gennem tarmkanalen ved hj&aelig;lp af peristaltikken</li>
    <li>Robot-kapsler, som kan fjernstyres og evt. bioptere, er i udvikling, men er endnu ikke godkendt til klinisk brug</li>
</ul>
<h3>Patientforberedelser</h3>
<ul>
    <li>Det anbefales, at patienten efter morgenmad dagen f&oslash;r unders&oslash;gelsen indtager flydende kost indtil kl. 22 - og herefter faster </li>
    <li>Efter at kapslen er indtaget, er der et specifikt regime afh&aelig;ngigt af type af kapsel og tarmsegment, der &oslash;nskes visualiseret</li>
    <li>Patienten beh&oslash;ver ikke at opholde sig p&aring; sygehuset og kan g&aring; p&aring; arbejde </li>
    <li>Patienten oplever ikke noget ubehag</li>
    <li>Kapselendoskopi er en sikker unders&oslash;gelse</li>
</ul>
<h2>Tekniske egenskaber</h2>
<ul>
    <li>Unders&oslash;gelser viser, at den tekniske succesrate er over 90 %</li>
    <li>I 50 % af de udf&oslash;rte unders&oslash;gelser bidrager kapselendoskopien til den endelige diagnose, hvor anden billeddiagnostik ville v&aelig;re inkonklusiv </li>
    <li>Sensitiviteten ved kapselendoskopi svarer til peroperativ enterotomi og enteroskopi hos patienter, som bliver laparotomeret, selv om kapslen ogs&aring; kan overse relevante fund </li>
    <li>De findes en destru&eacute;rbar (i tarmlumen) kapsel, som kan benyttes som test (forl&oslash;ber), hvis der er mistanke om tarmstenose, fx ved Crohns sygdom</li>
</ul>
<h2>Patientinformation</h2>
<ul>
    <li>
    <a href="~/link.aspx?_id=5F248FBF18A049E98F0A6D898E26F131&amp;_z=z">Kapselendoskopi</a></li>
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