Endoscopy is now very easy with the capsule endoscopy method, which is used to detect small and large bowel diseases. “Capsule Endoscopy”, which is one of the new methods used in the examination of tulser, polyp, cancer or other abnormal formations in the small intestine, colon, ie large intestine, is the most advanced technology.
The entire digestion with the camera in a tiny capsule that is swallowed by the patient. A wider coverage area can be achieved with Capsule colonoscopy, which offers the opportunity to examine the canal from top to bottom.
Capsule Enteroscopy; Mini robot or mini camera – 1×3 cm in size (11 mm x 26 mm) and 4 grams in weight and contain a microchip or a microchip. It is the process of swallowing a capsule with a mini-camera after 8-12 hours of fasting and this device travels through the digestive system to take images and finally the patient expels this capsule with feces.Examination of the small intestine, which cannot be evaluated mainly by gastroscopy and colonoscopy, although it traverses the entire digestive system
The microchip in the capsule is obtained. The digital images taken by the patient are transferred to a mobile phone-sized recording device (such as a walkie-talkie) attached to the patient’s waist and analyzed in detail on the computer.
Standard capsules take two images per second and this advanced capsule can capture images at up to 18 images per second and 8 times magnification of around 50,000 in an 8 hour period. The capsule has a 1450 field of view and can recognize objects up to 0.1 mm in diameter and tissue up to 20 mm deep.
Capsule One day before Enteroscopy, elementary diet, laxatives, sodium phosphate, polyethylene glycol (PEG), mannitol etc. Bowel preparation should be done with substances.
How is Capsule Enteroscopy performed?
The patient goes to the gastroenterology department on an empty stomach after the preparation made the day before, and the camera’s recording device is attached to the patient’s belt. Swallows the special capsule with a glass of water. It is allowed to drink water 2 hours after swallowing the capsule and after 4 hours a light watery food such as soup is allowed. In the meantime, there is no harm in continuing with his daily life. After 12 hours, the patient delivers the tape recorder attached to his waist. The capsule leaves the stomach in 48 ± 52 minutes and passes from the small intestine to the first part of the large intestine (cecum) in 276 ± 79 minutes. The patient expels the capsule after an average of 24 hours, following bowel movements and defecation.
Imaging such as MRI is inconvenient during the procedure.
In addition to colonoscopy, which is the most advanced technology in the examination of polyps, cancer or other abnormal formations in the colon, that is, large intestine, one of the new methods developed is “capsule colonoscopy”.
With this method, a camera capsule the size of a vitamin pill is given to the patient and the image detected by this capsule is recorded on a device attached to the patient’s belt. The difference between capsule colonoscopy and capsule enteroscopy is that there are two cameras, one at the front and one at the back. In this way, it is ensured that small lesions can be seen with images taken from both sides. This recording is then viewed on the computer. The capsule remains in the body for about 12 hours and is eventually excreted in the feces. During this period, the patient does not need to stay in the hospital, he can be at home or at work. This method; It is ideal for patients who cannot be put to sleep with sedation, who have respiratory distress and who are afraid of standard colonoscopy.
Before the capsule colonoscopy procedure, a good bowel cleansing is done with diet and medications. Then, on the day of the procedure, the patient comes to the hospital early in the morning and drinks a capsule the size of a large vitamin pill. A receiver device, the size of a large cell phone, is attached to the patient’s waist with a belt. In the meantime, the patient goes home and rests. He can eat his food. He comes back to the hospital in the evening and gives the receiver. Gastroenterology specialist physicians evaluate the images recorded on the recipient.
