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DOI: 10.1055/s-0033-1344180
Kapselendoskopie für Dünn- und Dickdarm
Publikationsverlauf
Publikationsdatum:
14. Juni 2013 (online)
![](https://www.thieme-connect.de/media/gastroenterologie-u2d/201302/lookinside/thumbnails/10.1055-s-0033-1344180-1.jpg)
Kapselendoskopiesysteme
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Mit der drahtlosen Kapselendoskopie ist heute die Darstellung der gesamten Dünndarm- und Dickdarmschleimhaut risikoarm möglich.
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Es sind mehrere Kapselendoskopiesysteme für die Dünndarmdarstellung von verschiedenen Herstellern auf dem Markt. Das verfügbare Kapselendoskopiesystem für die Kolondarstellung zeichnet sich durch längere Aufzeichnungsdauer und einen weiten optischen Winkel aus.
Indikationen
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Die Dünndarmkapselendoskopie ist für verschiedene Indikationen (u. a. obskure Gastrointestinalblutung, Eisenmangelanämie, Morbus Crohn) validiert und ist in der diagnostischen Abklärung etabliert.
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Der Stellenwert der Kolonkapselendoskopie wird derzeit in Studien untersucht und ist noch nicht abschließend geklärt. Einsatzbereiche sind die Detektion von Polypen, chronisch entzündliche Darmerkrankungen und Patienten nach inkompletter Koloskopie.
Kontraindikationen
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Eine bekannte Stenose des Gastrointestinaltraktes ist die wichtigste Kontraindikation der Kapselendoskopie. Bei Verdacht auf Stenosen kann mit der auflösbaren „Patency“-Kapsel die funktionelle Durchgängigkeit des Darmes vor dem Einsatz eines Kapselendoskopiesystems geprüft werden.
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