TABLE 1

Current indications for capsule endoscopy in adults

In the small bowel
Finding the source of obscure gastrointestinal bleeding
Evaluating iron-deficiency anemia in which a gastrointestinal source is suspected and upper and lower endoscopy are negative
Crohn disease: diagnosis and surveillance of disease activity
Celiac disease: diagnosis and evaluation of refractory disease
Assessing mucosal healing
Surveillance of polyposis syndrome
Diagnosing small-bowel tumors
Detecting arteriovenous malformation
Evaluating drug-induced injury, eg, from nonsteroidal anti-inflammatory drugs
In the esophagusa
Diagnosing Barrett esophagus
Diagnosing variceal bleeding
In the colon
Screening in cases of incomplete colonoscopy
Screening in patients at high risk from sedation, pain medications, and anesthetics
  • a Capsule endoscopy is used if upper-gastrointestinal endoscopy cannot be tolerated.