Table 8.
General characteristics of each method
| Characteristics | |
|---|---|
| SBCE |
Offers the least invasiveness if mucosal lesions can be visualized and the capsule can be swallowed High sensitivity for lesion detection, but low specificity Patency capsules are necessary to evaluate small bowel patency (contraindicated for cases involving stenosis) When the capsule cannot be swallowed, it can be placed endoscopically using an endoscopic capsule insertion aid (AdvanCE®)a |
| BAE |
Inflammation, stenosis, and other lesions can be directly observed, and procedures, such as biopsy and dilatation, can be performed Usually more invasive than SBCE and MRE Requires deep sedation or general anesthesia Risk of radiation exposure when fluoroscopy is used Risk of the inability to reach the lesion site |
| MRE |
Particularly useful for cases of suspected intestinal stenosis and the evaluation of extraintestinal complications Because the intestinal tract must be dilated at the time of imaging, it is necessary to ensure that the prescribed amount of laxative is administered orally or injected through a nasogastric tube Because of the risk of aspiration of laxatives, patients requiring sedation usually cannot be examined |
BAE balloon small bowel endoscopy, MRE magnetic resonance enterography, SBCE small bowel capsule endoscopy
aEndoscopic implantation using an endoscopic capsule insertion aid (AdvanCE®) is covered by the Japanese National Health Insurance for children aged < 15 years who are unable to swallow capsules