Retained Capsule Endoscopy in a Patient with a Meckel Diverticulum Previously Treated by Endovascular Embolization

Abstract

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Retention of endoscopic capsules in diverticula: Literature review of a capsule endoscopy rarity

“…In total, 32 articles were included, resulting in a total of 34 cases of retained capsules in diverticula 1 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 . An overview of the specific search results is provided in Fig.…”

“…Surgical management was used in 11 cases (32.4%), in eight of them resection of the diverticular segment was performed, two did not specify resection, and in one case, the surgical procedure was not specified. Five patients underwent laparoscopy, and one of those procedures was converted to a laparotomy 33 . Even though surgery was pursued due to actual retention in all 11 cases, only three of those reports offered a clear explanation for the choice of surgical management.…”

“…In one case, an attempted endoscopic retrieval via a colonoscopy failed 12 . In another case, both upper and lower endoscopies were attempted but failed 33 , and in the third case, an attempt to retrieve the capsule via flexible sigmoidoscopy failed due to epithelialization of the mucosa around the capsule 37 . There was no clear pattern in management of the nine patients with symptoms; however, in four of those cases, surgery with resection was performed 17 33 37 41 four patients underwent endoscopy 14 22 30 39 , and in the last case, the retention was resolved on its own 29 .…”

“…Surgical management was used in 11 (32,4%) cases, in eight of them resection of the diverticular segment was performed, two did not specify resection, and in one case the surgical procedure was non-specified. Five cases underwent a laparoscopic approach, where one was converted to a laparotomy [33]. Even though the surgical approach was pursued due to the actual retention in all 11 cases, only 3 instances offered a clear explanation for choosing surgical management was provided in three cases: in one case, an attempted endoscopic retrieval via a colonoscopy failed [12].…”

“…Even though the surgical approach was pursued due to the actual retention in all 11 cases, only 3 instances offered a clear explanation for choosing surgical management was provided in three cases: in one case, an attempted endoscopic retrieval via a colonoscopy failed [12]. In another case, both upper and lower endoscopies were attempted but failed [33], and the third case, the retrieval attempt of the capsule endoscope via flexible sigmoidoscopy failed due to the epithelialization of the mucosa around the capsule [37]. There was no clear pattern in management of the nine symptomatic cases, however four cases received a surgical approach with resection [17,33,37,41] four cases had an endoscopy [14,22,30,39] and the last case was self-resolved [29].…”