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What we have learned from 5 cases of permanent capsule retention.

Abstract：

BACKGROUND:Capsule endoscopy allows the direct visualization of the entire small bowel. There is limited data on the clinical significance of permanent capsule retention. OBJECTIVE:Our purpose was to document the frequency, findings, risk factors, management, and outcomes of permanent capsule retention. DESIGN:Retrospective, case series. SETTING:Single tertiary referral center, outpatient. RESULTS:Permanent capsule retention occurred in 2% of our cases (5/245). The following pathologies caused insufficient capsule passage: adenocarcinoma in a patient with hereditary nonpolyposis colorectal cancer (1), idiopathic stenosis (1), stricturing Crohn's disease (2), and adhesions (1). Capsule retention lead to a symptomatic small-bowel obstruction in only 1 of these cases (0.4%). As a consequence, 2 cases had successful endoscopic retrieval; 3 cases required surgical intervention. Four of 5 patients had a clear clinical benefit resulting from the capsule findings or the secondary procedure. CONCLUSIONS:Permanent capsule retention is rare. Even though this event may lead to the necessity of an endoscopic or surgical intervention, a clear benefit for the patient in respect to the underlying disease resulted in 4 of 5 patients.

journal_name

Gastrointest Endosc

journal_title

Gastrointestinal endoscopy

authors

Baichi MM,Arifuddin RM,Mantry PS

doi

10.1016/j.gie.2006.02.036

subject

Has Abstract

pub_date

2006-08-01 00:00:00

pages

283-7

issue

2

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(06)00429-9

journal_volume

64

pub_type

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