Retention during capsule endoscopy: Is it a real problem in routine practice?. (August 2016)

• Record Type: Journal Article
• Authors: Ormeci, Asli Cifcibasi; Akyuz, Filiz; Baran, Bulent; Gokturk, Suut; Ormeci, Tugrul; Pinarbasi, Binnur; Mutluay Soyer, Ozlem; Evirgen, Sami; Akyuz, Umit; Karaca, Cetin; Demir, Kadir; Kaymakoglu, Sabahattin; Besisik, Fatih
• Is Part Of: Journal of international medical research. Volume 44:Number 4(2016:Aug.)
• Page Start: 968
• Page End: 975
• Publication Date: 2016-08
• Subjects: Capsule endoscopy -- capsule retention -- small bowel -- patency capsule; Medicine -- Periodicals; Pharmacology -- Periodicals; 610.5
• DOI: 10.1177/0300060516645420
• Languages: English
• ISSNs: 0300-0605

Abstract

Objective: This study evaluated the risks and outcomes of capsule retention during capsule endoscopy (CE) for investigating small bowel disease. Capsule retention is the most serious complication of CE. Methods: Before CE, the gastrointestinal tract was evaluated for blockages with computerized tomography. Analysis of CE was made retrospectively. Results: Capsule endoscopy was used to investigate obscure bleeding (90.2%; n = 324) or other symptoms (9.8%; n = 35). The capsule retention rate was 11/359 (3.1%); it was retained in a malignant lesion area (adenocarcinoma or melanoma) in two patients (18.2%), in the small bowel in an ulcerated area in five patients (45.5%), and in the oesophagus/stomach in four patients (36.4%) due to dysmotility. None of the patients had symptoms of obstruction. Conclusions: Scanning patients before CE did not predict capsule retention. Retention is a complication of CE, but occurs as a result of the underlying disease. The risk of retention is increased in patients with motility disorders, suspected small bowel ulcers or malignancies.