Indications and Contraindications for Video Capsule Endoscopy

For the past 15 years, the medical community has been using VCE or video capsule endoscopy for various diagnostic purposes. Where this diagnostic procedure can be used in most cases, there are also certain contraindications.

What is Video Capsule Endoscopy?

Video capsule endoscopy is a diagnostic procedure where a small camera, placed inside a small capsule, swallowed by the patient and travels inside the gastrointestinal tract of the patient. The camera captures the images as it passes through the body. The images are transferred to a transmitter.

Here are the major indications and contraindications for video capsule endoscopy.

Indications for Video Capsule Endoscopy

There are several conditions where this diagnostic procedure is used to derive the final diagnosis or to conclude the severity of the disease condition.

Crohn’s Disease

This disease is categorized under IBD or inflammatory bowel disease.

The diagnosis of Crohn’s disease using Stratis MiroCam Video Capsule Endoscopy System is not common, but this diagnostic tool is used in determining the severity of the present condition. With the help of video capsule endoscopy, the doctors are able to evaluate the severity and spread of the condition.

Obscure Gastrointestinal Bleeding

One of the major indications of video capsule endoscopy system is in obscure gastrointestinal bleeding. The patients who complain of bleeding from their gastrointestinal tract undergo this procedure to rule out the root cause of the bleeding.

In majority of cases, upper gastrointestinal endoscopy or colonoscopy are used to diagnose the condition but when these two procedures cannot figure out the root cause of bleeding, it is known as obscure gastrointestinal bleeding.

The final diagnosis of small bowel bleeding is derived using Stratis MiroCam Capsule Endoscopy system.

Screening for Polyps

Video capsule endoscopy is also indicated in the patients who suffer from some inherited syndromes that lead to polyps in the small intestine.


Tumors of small bowel are detected with the help of small bowel video capsule endoscopy. Tumors like small intestine cancer, carcinoid tumors, and lymphomas are diagnosed using this procedure.

However, due to the presence of other diagnostic modalities, the diagnosis of tumors with the help of video capsule endoscopy is uncommon.

Celiac Disease

The severity and spread of celiac disease can also be detected using video capsule endoscopy.

Follow-up testing post other diagnostic measures like x-rays or imaging tests

As video capsule endoscopy gives a clear picture and images of the internal condition, this procedure proves very effective for follow-up testing.

Doctors, often perform video capsule endoscopy after diagnostic measures like x-rays or imaging test to confirm the diagnosis or collect more information on the condition of the patient.

Contraindications for Video Capsule Endoscopy

The video capsule endoscopy manufacturer highlights the conditions where video capsule endoscopy is strictly contraindicated.

Here are the major contraindications of video capsule endoscopy:

Small Bowel Obstruction

Known small bowel obstruction is a clear contraindication for video capsule endoscopy. Patients who are susceptible to obstruction complain of swallowing disorders or pacemakers or other cardiac devices implanted inside them. They should not undergo this diagnostic procedure.


Patients that are pregnant should also not undergo video capsule endoscopy or should undergo a very careful examination by a professional before undergoing the procedure of video capsule endoscopy.