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Asymptomatic aspiration of a capsule endoscope

2004; Elsevier BV; Volume: 60; Issue: 5 Linguagem: Inglês

10.1016/s0016-5107(04)02032-2

1097-6779

Siamak Tabib, Clark Fuller, Jan Daniels, Simon K. Lo,

Gastrointestinal Tumor Research and Treatment

The origin of GI bleeding is obscure in up to 5% of patients. 1. Zuckerman G.R. Prakash C. Askin M.P. Lewis B.S. AGA technical review on the evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology. 2000; 118: 201-221 Abstract Full Text Full Text PDF PubMed Scopus (478) Google Scholar , 2. Rockey D.C. Occult gastrointestinal bleeding. N Engl J Med. 1999; 341: 38-46 Crossref PubMed Scopus (194) Google Scholar Such bleeding may manifest as iron deficiency anemia and/or positive fecal occult blood tests, or overtly as hematochezia or melena, with no source being found by conventional evaluation, including upper and lower endoscopy, push enteroscopy, barium contrast radiography of the small bowel, scintigraphy, and visceral angiography. Capsule endoscopy now has made it possible to visualize the small-intestinal mucosa with almost no risk of a complication. 3. Iddan G. Meron G. Glukhovsky A. Swain P. Wireless capsule endoscopy. Nature. 2000; 405: 417 Crossref PubMed Scopus (2414) Google Scholar , 4. Yu M. M2A capsule endoscopy. A breakthrough diagnostic tool for small intestine imaging. Gastroenterol Nurs. 2002; 25: 24-27 Crossref PubMed Scopus (92) Google Scholar In up to 1% of patients, however, the capsule may be retained proximal to an area of intestinal narrowing or blockage. 5. Barkin J.S. Friedman S. Wireless capsule endoscopy requiring surgical intervention: the world's experience. Am J Gastroenterol. 2002; 97: S298 Crossref PubMed Google Scholar No other complication has been described. Recent reports 6. Fleischer D.E. Heigh R.I. Nguyen C.C. Leighton J.A. Sharma V.K. Musil D. Videocapsule impaction at the cricopharyngeus: a first report of this complication and its successful resolution. Gastrointest Endosc. 2003; 57: 427-428 Abstract Full Text Full Text PDF PubMed Scopus (47) Google Scholar , 7. Schneider A.R. Hoepffner N. Rösch W. Caspary W.F. Aspiration of an M2A capsule. Endoscopy. 2003; 35: 713 Crossref PubMed Scopus (35) Google Scholar , 8. Sinn I. Neef B. Andus T. Aspiration of a capsule endoscope. Gastrointest Endosc. 2004; 59: 926-927 Abstract Full Text Full Text PDF PubMed Scopus (30) Google Scholar indicate the occurrence of aspiration of the capsule endoscope. This is a case report of an elderly patient's aspiration of the capsule endoscope without symptoms.