Longest duration of retention of video capsule: A case report and literature review

Bhattarai, Mukul; Bansal, Pardeep; Khan, Yakub

doi:10.4253/wjge.v5.i7.352

Cited by 22 publications

(14 citation statements)

References 19 publications

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“…[5] Most retained capsules are asymptomatic with the longest duration of asymptomatic retention reported being 4.5 years. [6] In a retrospective study of 104 retained capsules only 15% had partial small bowel obstruction. [7] In another retrospective study of 1000 VCE with 1.4% retention rate, all retentions were asymptomatic.…”

Section: Discussionmentioning

confidence: 99%

Successful Retrieval of Retained Video Capsule Endoscope Using Double Balloon Enteroscope: A Case Report and Review of Literature

Gupta

Sawalakhe

Samarth

et al. 2017

Journal of Digestive Endoscopy

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Video capsule endoscopy is now the first-line tool in evaluating and diagnosing obscure gastrointestinal bleeding, inflammatory bowel disease, and small bowel neoplasms. Capsule retention is an uncommon but clinically significant complication. How to best retrieve these retained capsules is currently being debated. In this case report, we describe a retained capsule successfully retrieved using double-balloon enteroscopy. This case also highlights the fact that capsule retention can occur even in the absence of signs and symptoms suggestive of intestinal obstruction.

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Section: Discussionmentioning

confidence: 99%

Successful Retrieval of Retained Video Capsule Endoscope Using Double Balloon Enteroscope: A Case Report and Review of Literature

Gupta

Sawalakhe

Samarth

et al. 2017

Journal of Digestive Endoscopy

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“…Bhattarai et al reported a case of 4 years and 5 months asymptomatic capsule retention in a 49-year-old man who had subtotal colectomy with ulcerative colitis, which was resolved by colonoscopy procedure. [13] If endoscopy is not successful, a small number of patients may require surgical intervention, whereas asymptomatic patients may initially be put under observation. [14] However, simple follow-up in asymptomatic patients does not always produce good results.…”

Section: Discussionmentioning

confidence: 99%

Natural elimination of a video capsule after retention for 1 year in a patient with small bowel Crohn disease

Lee

Lee²,

Lee³

et al. 2019

Medicine

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Introduction:Video capsule endoscopy (VCE) is a useful tool to differentiate small intestinal bleeding, inflammatory bowel disease, and other small bowel disease. The most common adverse effect of VCE is capsule retention; the incidence varies greatly depending on the underlying disease, which is known to increase from 1.5% in healthy individuals to 21% in patients with small bowel Crohn disease. We report this case on a patient who had asymptomatic capsule retention for 12 months and experienced natural elimination with medication.Patient concerns:A 21-year-old woman presented to the hospital with chronic abdominal pain and persistent diarrhea for 2 years.Diagnoses:The patient was diagnosed with small bowel Crohn disease using VCE, and radiography revealed capsule retention.Intervention:Symptoms of obstruction were not distinctive, it was decided to increase the dosages of azathioprine and infliximab to 50 and 500 mg (10 mg/kg), at 5 months after VCE. And at month 11 of capsule retention, she was admitted and started on a regimen of hydrocortisol 300 mg for 4 days and hydrocortisol injection 200 mg for 10 days.Outcomes:At month 12, abdominal radiography in the clinic confirmed that the capsule had been naturally retrieved.Lessons:Capsule retention could be initially treated conservatively with medication and if the treatment fails, it is recommended to remove the capsule surgically. But in the case of the clinical condition of the patient is favorable without symptoms of bowel obstruction, the medication should be continued and the patient followed up.

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“…Most retained capsules are asymptomatic with the longest duration of asymptomatic retention reported being 4.5 years. 14 For retained capsule conservative treatment should be considered when there is no need for immediate surgery by treating the underlying cause, that is, use of anti-inflammatory agents or colonoscopy preparation fluids, which may lead to spontaneous passage.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic yield of video capsule endoscopy in obscure occult gastrointestinal bleed

Gaikwad

Sankalecha

et al. 2017

Int J Res Med Sci

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Background: Gastrointestinal blood loss is the leading cause of iron deficiency anemia in developing world. Many patients had normal findings on initial upper and lower gastrointestinal endoscopy. When such patients present with stool occult blood positivity, it’s an indication to evaluate small bowel by video capsule endoscopy for detecting possible source of bleeding. Aim was to know the diagnostic yield of video capsule endoscopy in anaemic patients with occult gastrointestinal bleed.Methods: In this retrospective study, we evaluated all the data of video capsule endoscopy which were done in patients with obscure occult gastrointestinal bleed.Results: Total sample size was 21 patients. M:F ratio was 1.6:1 Average age of patients was 51.52±6.3 years. Youngest patient was of 16 years and Oldest patient was of 78 years. Video capsule endoscopy was normal in 8/21(38.09%), and had positive findings in 13/21(61.90%). Most common finding was aphthous ulcer in jejunum and ileum in 19.04%. Followed by Telangiectasia in 14.28%, NSAID enteropathy in 4.76%, Jejunal diverticulosis in 9.52%, celiac disease, xanthelasma, enteroliths in ileum, ileal nodularity in 4.76% each. Complication occurred in one patient (4.76%) in the form of retention of the capsule, which was retrieved by double balloon Enteroscopy.Conclusions: Video capsule endoscopy has a good diagnostic yield of around 61.90% in patients with obscure occult gastrointestinal bleed. It is best performed during ongoing bleed or immediately thereafter. Careful patient selection and repeating the upper and lower GI Scopy before video capsule endoscopy can be a reliable option before video capsule endoscopy to prevent complication.

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Longest duration of retention of video capsule: A case report and literature review

Cited by 22 publications

References 19 publications

Successful Retrieval of Retained Video Capsule Endoscope Using Double Balloon Enteroscope: A Case Report and Review of Literature

Successful Retrieval of Retained Video Capsule Endoscope Using Double Balloon Enteroscope: A Case Report and Review of Literature

Natural elimination of a video capsule after retention for 1 year in a patient with small bowel Crohn disease

Diagnostic yield of video capsule endoscopy in obscure occult gastrointestinal bleed

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