The aim of this study was to review the use of the AdvanCE capsule endoscopy delivery
device (US Endoscopy, Mentor, Ohio, USA) in pediatric patients who are too young to
safely follow the wireless capsule swallowing instructions. Nine patients (mean age
6.6 years; SD ± 1.8 years) underwent capsule deployment. Indications for the procedure
were the evaluation of suspected inflammatory bowel disease in eight patients and
evaluation of protein-losing enteropathy in one patient. The capsule was successfully
deployed in the first part of the duodenum in seven patients and in the pyloric canal
in one patient. In another patient the capsule was deployed in the gastric antrum
and required endoscopic retrieval due to abdominal pain and failure of the capsule
to traverse the pylorus. The wireless capsule successfully passed in the remaining
eight patients without any complications. The AdvanCE capsule endoscopy delivery device
appears to be a safe and technically easy method of wireless capsule delivery in pediatric
patients. Capsule deployment should be in the duodenum whenever possible. Further
studies of the use of this device in pediatric patients are warranted.
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O. AtayMD
Department of Pediatric Gastroenterology
Cleveland Clinic Children’s Hospital
9500 Euclid Avenue/Desk A111
Cleveland
OH 44195
USA
Fax: +1-216-444-2974
Email: atayo@ccf.org
