Capsule Endoscopy, Standard Endoscopy, Barium Examination, and CT in Imaging Small Bowel Disease

Targeted CE per ARRT’s Discipline, Category, and Subcategory classification for enrollments starting after February 14, 2023:
[Note: Discipline-specific Targeted CE credits may be less than the total Category A credits approved for this course.]

Computed Tomography: 1.00
Procedures: 1.00
Abdomen and Pelvis: 1.00

Magnetic Resonance Imaging: 1.00
Procedures: 1.00
Body: 1.00

Nuclear Medicine Technology: 0.50
Procedures: 0.50
Gastrointestinal and Genitourinary Procedures: 0.50

Radiography: 1.00
Procedures: 1.00
Thorax and Abdomen Procedures: 1.00

Registered Radiologist Assistant: 1.00
Procedures: 1.00
Abdominal Section: 1.00

Radiation Therapy: 1.00
Patient Care: 0.50
Patient and Medical Record Management: 0.50
Procedures: 0.50
Treatment Sites and Tumors: 0.50

Outline

1. Introduction
2. Capsule Endoscopic Technique
3. Advantages and Disadvantages of Capsule Endoscopy
4. Indications for Capsule Endoscopy
   1. Obscure Gastrointestinal Bleeding
   2. Crohn Disease
   3. Additional Potential Indications
5. Contraindications for Capsule Endoscopy
6. Lesions Detected at Capsule Endoscopy
   1. Arteriovenous Malformations
   2. Small Bowel Tumors
   3. Ulcers
      1. Due to Crohn Disease
      2. NSAID-induced Ulcers
7. False-negative and False-positive Findings at Capsule Endoscopy
8. Complications of Capsule Endoscopy
9. Conclusions

Objectives

Upon completion of this course, students will:

1. learn what capsule endoscopy is
2. understand the most common indication for capsule endoscopy
3. learn about the recording apparatus that the patient wears
4. learn how fast the images are acquired
5. learn how long the battery life is
6. understand the main advantage of capsule endoscopy
7. learn about the mucosal diseases that capsule endoscopy can detect
8. understand there are disadvantages of the study
9. learn the disadvantages of capsule endoscopy
10. understand the image quality of the camera
11. understand what obscure gastrointestinal bleeding is
12. learn what overt obscure gastrointestinal bleeding is
13. learn what occult obscure gastrointestinal bleeding is
14. know one of the common indications of capsule endoscopy
15. know that capsule endoscopy can out perform other radiologic studies
16. know what percentage of Crohn disease studies benefit from capsule endoscopy
17. learn other indications that capsule endoscopy is used for
18. be able to list some contraindications of capsule endoscopy
19. know what a relative contraindication is
20. know the most common abnormality of obscure gastrointestinal bleeding
21. learn about Arteriovenous malformations
22. learn about small bowel neoplasms
23. learn the examination of choice for detecting small bowel neoplasms
24. understand the evaluation that capsule endoscopy provides
25. learn about studies performed that detect more tumors that radiologic imaging
26. learn what the majority of small bowel ulcers detected by capsule endoscopy are caused by
27. learn the differences between capsule endoscopy and standard endoscopy
28. know what type of patients undergo capsule endoscopy
29. know what other studies can be performed for patients who cannot undergo capsule endoscopy
30. know another cause of small bowel ulcers and strictures
31. learn some clinical manifestations of NSAID-induced small bowel disease
32. learn what can be missed by capsule endoscopy
33. know what condition is not commonly detected using capsule endoscopy
34. know some false-negative results can occur with capsule endoscopy
35. why some patients may need surgical removal of the capsule