Capsule Endoscopy

Expert capsule endoscopy in Naples and Bonita Springs — board-certified gastroenterologists examine your small intestine using an advanced, swallowable camera, without surgery.

White Capsule

What Is Capsule Endoscopy?

Capsule endoscopy is a diagnostic procedure that uses a vitamin-sized capsule equipped with a miniature wireless camera to capture thousands of images as it travels naturally through your digestive tract. After swallowing the capsule, it passes through the stomach and small intestine while continuously taking pictures that are transmitted to a small recording device worn on a belt or shoulder strap.

Unlike a traditional upper endoscopy or colonoscopy, capsule endoscopy does not require a flexible scope to evaluate the small intestine — the part of the digestive tract that’s hardest to reach with conventional endoscopic tools.

Why Might I Need a Capsule Endoscopy?

Your gastroenterologist may recommend capsule endoscopy when additional information is needed to evaluate symptoms or conditions affecting the small intestine.

Unexplained GI Bleeding

Without an identified source

Iron-Deficiency Anemia

Persistent or unexplained

Suspected Crohn's Disease

Involving the small intestine

Persistent Abdominal Pain

Unexplained by prior testing

Ongoing Diarrhea

With no clear diagnosis

Suspected Small Bowel Tumors

Or polyps

Evaluation of Celiac Disease

Small bowel involvement

Abnormal Imaging Results

Requiring further evaluation

Your Procedure Journey

From scheduling through results, here’s what to expect at each stage.

Consultation

Referral review, insurance check, prep instructions provided.

Prepare

Fasting, bowel prep, and medication adjustments the day before.

Swallow the Capsule

A brief in-office visit — recorder is placed and you’re on your way.

Wear the Recorder

Continue most daily activities for ~8 hours while it records.

Results

Images are reviewed and your physician follows up with findings.

Call your physician if you develop worsening abdominal pain, vomiting, or signs of bowel obstruction before or after the exam.

Is This the Right Test for You?

Capsule endoscopy, upper endoscopy, and colonoscopy each evaluate a different part of the digestive tract — and each carries its own considerations.

Capsule Endoscopy Upper Endoscopy (EGD) Colonoscopy
Area examined The small intestine Esophagus, stomach, duodenum Colon and rectum
Method Swallowable capsule with camera Flexible scope through the mouth Flexible scope through the rectum
Capabilities Diagnostic imaging only Biopsies and certain treatments Polyp removal, biopsies, treatment
Sedation Not required Sedation provided Sedation provided

Risks & Safety

Capsule endoscopy is generally safe. Serious complications are uncommon.

Capsule Retention

Uncommon; may occur if the small intestine is narrowed. Not usually painful but requires follow-up.

MRI Precautions

Avoid MRI until the capsule has passed and been confirmed clear of the body.

Diagnostic Only

Cannot collect biopsies or perform treatment; findings may lead to additional procedures.

Results & Next Steps

After the exam, the thousands of images captured by the capsule are carefully reviewed by your gastroenterologist for signs of bleeding, inflammation, ulcers, polyps, or other abnormalities affecting the small intestine.

Because image interpretation requires detailed review, results are typically not available immediately following the procedure. Your care team will contact you to discuss findings and any recommended next steps.

Depending on results, your physician may recommend

Frequently Asked Questions

No. Capsule endoscopy is generally painless. Most patients swallow the capsule like a large vitamin and resume normal activities shortly after.

The capsule records for approximately eight hours as it travels through the digestive tract. You’ll wear the recorder while going about most of your day.

No. Unlike traditional endoscopic procedures, capsule endoscopy does not require sedation, so most patients can drive and resume normal activity the same day.

Capsule retention is uncommon but possible in patients with prior GI conditions. Your care team reviews your history beforehand to reduce this risk.

No. Capsule endoscopy examines the small intestine specifically. Other procedures may still be needed depending on your symptoms and findings.

Your physician carefully reviews the thousands of images captured and typically follows up within about a week to discuss findings.

Location

Capsule endoscopy is performed at NCH Gastroenterology outpatient locations.

Explore All Gastroenterology Services

Conditions, screenings, and advanced GI care at NCH.

Schedule Your Capsule Endoscopy Consultation

Talk with an NCH gastroenterologist about whether capsule endoscopy is right for you.