TABLE 2

Contraindications to capsule endoscopy for small-bowel disease

Cognitive disorders in which the patient may not follow instructions for the procedure, resulting in biting the capsule, damaging teeth or the capsule
Gastroparesis (but the capsule can be placed distally with an endoscope)
Esophageal stricture or swallowing disorders (but the capsule can be placed endoscopically)
Zenker diverticulum of the esophagus
Partial or intermittent small-bowel obstruction, chronic adhesions
History of strictures from inflammatory bowel disease
Pregnancy
Active Crohn disease
Left ventricular assist devices (but pacemakers and automatic implantable cardiac defibrillators are no longer contraindicated)
Numerous diverticula