TeleInGEstion Remote Video Capsule Endoscope

Abstract

We describe 2 cases in which video capsule endoscopy was performed remotely using TeleInGEstion Remote Video Capsule Endoscopy (TIGER VCE), given limited access to endoscopy during the COVID-19 pandemic. The patients ingested the CapsoCam capsule during a televisit, and the video was subsequently reviewed remotely by the physician. TIGER VCE was used to diagnose a benign etiology of melena and used to confirm a diagnosis of Crohn's disease before the initiation of biologic therapy. These cases demonstrate the safety and efficacy of TIGER VCE. We feel that this technique may be considered as a standard ingestion technique in the future.

Figure 1.

A benign-appearing hemorrhagic polyp noted in the gastric antrum without signs of active bleeding.

Figure 2.

Findings consistent with Crohn's disease in the terminal ileum: inflammation characterized by erythema, nonbleeding ulceration with inflammatory exudate, and stricture.