An unusual case of Bravo capsule aspiration

Renteln, Daniel von; Kayser, T; Riecken, Bettina; Caca, Karel

doi:10.1055/s-2007-995804

Cited by 9 publications

(8 citation statements)

References 2 publications

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“…However, several severe cases have been reported that general anesthesia was done to remove the aspirated capsule safely or respiratory distress was showed after capsule aspiration into nasopharynx or bronchus. [8][9][10] As these previous reported cases, aspiration of the capsule may lead to hypoxic shock, obstructive pneumonitis, and removal of an aspirated capsule from the bronchus may cause bronchial injury. Therefore, preventing capsule aspiration is preferable to managing it.…”

Section: Discussionmentioning

confidence: 76%

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A Case of Asymptomatic Aspiration of a Capsule Endoscope with a Successful Resolution

Choi¹,

Kim²,

Kim³

et al. 2010

Gut Liver

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Aspiration is a very rare complication of capsule endoscopy, but it is potentially life-threatening and should be considered an emergency requiring immediate intervention since it can evolve into major airway compromise and obstructive pneumonitis. We experienced a case of asymptomatic aspiration of a capsule in a 75-year-old man. The aspirated capsule was diagnosed on routine chest and abdomen X-rays to confirm its position after ingestion. The capsule was removed via bronchoscopy using a net, without sequelae, after inducing the patient to cough. To prevent this complication, a thorough history of swallowing disorders is needed before capsule ingestion, and patients with swallowing difficulties should have the capsule placed in the duodenum endoscopically. Moreover, on capsule aspiration, cough induction is the most effective method of capsule removal. (Gut Liver 2010;4:114-116)

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Section: Discussionmentioning

confidence: 76%

“…[1][2][3][4][5][6][7][8][9][10] It is potentially fatal and should be considered an emergency requiring immediate management as it may lead to hypoxic shock and chronic lung disease such as obstructive pneumonitis. We treated a patient who showed no respiratory symptoms after capsule aspiration.…”

Section: Introductionmentioning

confidence: 99%

A Case of Asymptomatic Aspiration of a Capsule Endoscope with a Successful Resolution

Choi¹,

Kim²,

Kim³

et al. 2010

Gut Liver

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“…Most of the time chest pain was moderate, but in some cases severe pain led to the endoscopic removal of the capsule (0 -75 % of cases of severe chest pain) [3,4,6,8]. The other side effects reported in the literature are: one case of esophageal perforation, which occurred during capsule insertion and was treated medically [44], one capsule aspiration in a sedated patient, which was spontaneously expelled into the nasopharynx during coughing [45], and one case of minor mucosal injury caused by inadvertent capsule extraction [31].…”

Section: Tolerabilitymentioning

confidence: 99%

Wireless pH capsule – yield in clinical practice

et al. 2012

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Wireless pH monitoring is one of the recent technologies that focus on improving the diagnosis of gastroesophageal reflux disease (GERD). The capsule, which is fixed within the esophagus, transmits data via telemetry to an external receiver. The capsule is usually inserted 6 cm above the squamocolumnar junction during an upper endoscopy. The standard recording duration is 48 hours but this can be extended to 96 hours. The wireless capsule has been shown to be at least as accurate as the conventional catheter for the monitoring of esophageal pH. Normal pH values have been established in three different series. The use of a wireless capsule provides an increased diagnostic yield for GERD compared with the conventional catheter. The increased yield is the result of higher sensitivity to detect both abnormal acid esophageal exposure and positive symptom-reflux association. This may be related both to the prolonged recording duration and to fewer dietary modifications and restrictions on activities. Several studies have shown that the pH capsule was better tolerated by patients than the conventional pH catheter. Mild-to-moderate chest pain represents the main side effect of the pH capsule: severe chest pain requiring endoscopic removal of the capsule is rare. The main indication for wireless capsule application is monitoring of distal esophageal pH for diagnostic purpose, particularly in patients with a normal endoscopic examination. The capsule technique has some limitations: costs are higher than conventional pH monitoring, misplacement may occur, and the sampling rate is lower. Finally, compared with pH-impedance monitoring, only acid reflux events can be evaluated.

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“…The literature reports premature detachment, dysphagia, chest pain, and technical malfunctions of pH electrode or receiver as common complications and aspiration, esophageal perforation, and dislodgement into the pyriform sinus and nasopharynx as severe complications. 3 – 12 Despite multiple studies evaluating the tolerance, safety, and efficacy of the wireless device, limited reports of capsule retention after completion of the pH study exist. 5 – 7 , 13 – 15 …”

Section: Introductionmentioning

confidence: 99%

Esophageal pH Capsule Retention

et al. 2020

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The wireless pH capsule is widely used to evaluate gastroesophageal reflux disease in patients. Common complications include premature capsule detachment, dysphagia, chest pain, and technical malfunctions. We present a 6-year-old boy who presented to our institution with a 2-day history of coffee-ground emesis. A pH capsule was found to be lodged in his distal esophagus 45 days after initial placement. We explore the possible reasons for capsule retention and briefly discuss the safety implications of this finding because we believe that this complication may be underreported.

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An unusual case of Bravo capsule aspiration

Cited by 9 publications

References 2 publications

A Case of Asymptomatic Aspiration of a Capsule Endoscope with a Successful Resolution

A Case of Asymptomatic Aspiration of a Capsule Endoscope with a Successful Resolution

Wireless pH capsule – yield in clinical practice

Esophageal pH Capsule Retention

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