Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 48: What Is A Reliable Method To Estimate The Location Of A Lesion Found On Capsule Endoscopy? (continued)

Jonathan A. Leighton, MD; Lucinda A. Harris, MS, MD

There is a feeling of intense satisfaction when reading a video capsule endoscopy (VCE) study when you locate the lesion(s) in the small bowel that have been causing obscure gastrointestinal bleeding or in discovering ulcerations consistent with Crohn’s disease to refine a patient’s therapy. However, that feeling can soon be replaced by a sinking feeling in the pit of your stomach when you realize that it is necessary to localize this finding within the 600 cm of small intestine. At that moment, figuring out exactly where that small bowel lesion is can feel a bit overwhelming…