Retention of an endoscopic capsule

Bakhshi, Girish D.; Tayade, Mukund B; Jadhav, Kavita V.; Choure, Dayanand D; Mane, Narsing; Patil, Sunil

doi:10.4103/0972-9941.134886

Cited by 7 publications

(3 citation statements)

References 5 publications

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“…1 The most common complication is the retention of the capsule due to intestinal stenosis, which then requires invasive procedures for capsule extraction. 2 The retention of the capsule at the esophageal level should be considered since the incidence of this issue increases in incomplete studies. Studies have shown that 10.1% of cases occur due to other causes, such as age (> 65), transit through the stomach (> 43 minutes), and minutes in the small intestine (> 286).…”

Section: Discussionmentioning

confidence: 99%

Capsule endoscopy retention in Zenker�s diverticulum

2022

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A 75-year-old male patient, with a history of digestive bleeding of unknown origin, underwent a study of the small intestine by capsule endoscopy. In two abdominal radiographs, the capsule endoscopy was not evident nor recovered. Thus, it was assumed that the capsule was expelled.Two years later, the patient presented dysphagia and consulted. A chest tomography revealed the presence of a Zenker's diverticulum with an image suggestive of a capsule endoscopy inside. Endoscopic extraction of the capsule was performed under general anesthesia and endotracheal intubation. During the procedure, Zenker's diverticulum was observed with the capsule inside, which was extracted with a Roth basket.

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Section: Discussionmentioning

confidence: 99%

Capsule endoscopy retention in Zenker�s diverticulum

2022

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“…A wireless digestive tract device might offer advantages because it will not be limited by body position or sex differences. However, occlusion and retention in the GI tract are another consideration for this type of device [ 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

Systematic Review of Diagnostic Sensors for Intra-Abdominal Pressure Monitoring

Liao

Cheng

Chen

et al. 2021

Sensors

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Intra-abdominal pressure (IAP) is defined as the steady-state pressure within the abdominal cavity. Elevated IAP has been implicated in many medical complications. This article reviews the current state-of-the-art in innovative sensors for the measurement of IAP. A systematic review was conducted on studies on the development and application of IAP sensors. Publications from 2010 to 2021 were identified by performing structured searches in databases, review articles, and major textbooks. Sixteen studies were eligible for the final systematic review. Of the 16 articles that describe the measurement of IAP, there were 5 in vitro studies (31.3%), 7 in vivo studies (43.7%), and 4 human trials (25.0%). In addition, with the advancement of wireless communication technology, an increasing number of wireless sensing systems have been developed. Among the studies in this review, five presented wireless sensing systems (31.3%) to monitor IAP. In this systematic review, we present recent developments in different types of intra-abdominal pressure sensors and discuss their inherent advantages due to their small size, remote monitoring, and multiplexing.

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“…In addition, the determination of the exact location of a retained capsule (i.e., distinguishing between small or large bowel) by plain abdominal X-ray may be challenging. To overcome these drawbacks, the use of CT has been therefore suggested (54,56,64). CT can give a precise capsule location ( Figure 1) and provide data about the cause of CR, however it implies the exposure to a higher dose of ionizing radiations.…”

Section: Cr Diagnosismentioning

confidence: 99%

Capsule retention: prevention, diagnosis and management

Rondonotti¹

2017

Ann. Transl. Med.

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Capsule retention (CR) has been defined as capsule remaining in the digestive tract for a minimum of two weeks. CR occurs approximately in 2% of all patients undergoing small bowel capsule endoscopy (CE). Prompt diagnosis of CR is important, as it has relevant clinical implications. CR should be suspected in (I) all asymptomatic patients who do not report capsule excretion within 15 days from capsule ingestion; and (II) patients with obstructive or perforation-related symptoms in which the capsule has not been excreted, regardless of the time between the onset of symptoms and capsule ingestion. Abdominal plain X-ray is the preferred test to confirm CR. An abdominal CT scan should be performed, on individual basis, if knowledge of the precise location of the retained capsule is necessary or whenever clinically indicated. Since CR is usually asymptomatic, an initial watchful monitoring is suggested. In inflammatory bowel disease (IBD) patients, a short course of medical therapy may allow capsule excretion. Nevertheless, in long-term CR, some cases of capsule fragmentation, acute obstruction and perforation have been described. Therefore, retrieval of the retained capsule is recommended if asymptomatic CR lasts for long time. A safe capsule retrieval is usually performed by endoscopy, whereas surgery remains a viable alternative if the first is unsuccessful or when clinically indicated. Either Patency Capsule (PC) or dedicated small bowel cross-sectional imaging techniques have been proposed to prevent CR. Both have pros and cons, but head-to-head comparative studies are lacking.

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Retention of an endoscopic capsule

Cited by 7 publications

References 5 publications

Capsule endoscopy retention in Zenker�s diverticulum

Capsule endoscopy retention in Zenker�s diverticulum

Systematic Review of Diagnostic Sensors for Intra-Abdominal Pressure Monitoring

Capsule retention: prevention, diagnosis and management

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