Capsule endoscopy assisted by traditional upper endoscopy
| Autor: | Clotilde Lérias, M. Correia Leitão, Susana Lopes, Nuno Almeida, Hermano Gouveia, Pedro Figueiredo, Paulo Freire |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2008 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastroparesis Adolescent Endoscope Capsule Endoscopy law.invention Young Adult Swallowing Capsule endoscopy law Gastroscopy Upper gastrointestinal endoscopy medicine Endoscopia por Cápsula Humans Duodenoscopy Aged Retrospective Studies business.industry Stomach Upper endoscopy digestive oral and skin physiology Gastroenterology Capsule General Medicine Middle Aged medicine.disease Surgery medicine.anatomical_structure Duodenum Female Foreign body Swallowing disorders business |
| Zdroj: | Revista Española de Enfermedades Digestivas v.100 n.12 2008 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Scopus-Elsevier |
| Popis: | Background and aims: capsule endoscopy (CE) can be pre vented by difficulties in swallowing the device and/or its gastric re tention. In such cases, endoscopic delivery of the capsule to duo denum is very useful. We describe the indications and outcomes of cases in which traditional endoscopic techniques allowed placement of the cap sule in duodenum. Patients and methods: this is a retrospective, descriptive case series. All patients in the above conditions were identified and indications for CE, endoscopic-placement technique, compli cations and completeness of small bowel imaging were registered. Results: endoscopic-assisted delivery of the capsule was nec essary in 13 patients (2.1% of all CE; 7 males; mean age ‐ 47.9 ± 24.9 years, range 13 to 79 years). Indications for endoscopic de livery included: inability to swallow the capsule (7), gastric reten tion in previous exams (3), abnormal upper gastrointestinal anato my (3). In eight patients, the capsule was introduced in GI tract with: foreign body retrieval net alone (3), retrieval net and a translucent cap (2), prototype delivery device (2) or a polypectomy snare (1). Five patients ingested the capsule that was then placed in duodenum with a polypectomy snare (3) or a retrieval net (2). No major complications occurred. Complete small bowel exami nation was possible in 10 patients (77%). Conclusions: endoscopic placement of capsule endoscope in the duodenum is rarely needed. However it may be safely performed by different techniques avoiding some limitations of CE. The best methods for endoscopic delivery of the capsule in the duodenum seem to be a retrieval net with a translucent cap when the patient is unable to swallow the device or a retrieval net only to capture the capsule in the stomach when the patient swallows it easily. |
| Databáze: | OpenAIRE |
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