Successful Retrieval of Retained Video Capsule Endoscope Using Double Balloon Enteroscope: A Case Report and Review of Literature

ABSTRACT

Video capsule endoscopy is now the first-line tool in evaluating and diagnosing obscure gastrointestinal bleeding, inflammatory bowel disease, and small bowel neoplasms. Capsule retention is an uncommon but clinically significant complication. How to best retrieve these retained capsules is currently being debated. In this case report, we describe a retained capsule successfully retrieved using double-balloon enteroscopy. This case also highlights the fact that capsule retention can occur even in the absence of signs and symptoms suggestive of intestinal obstruction.

KEYWORDS:

Double-balloon enteroscope - endoscopic retrieval - retention - wireless capsule endoscope

• REFERENCES

• 1 Karagiannis S, Faiss S, Mavrogiannis C. Capsule retention: A feared complication of wireless capsule endoscopy. Scand J Gastroenterol 2009; 44: 1158-65
• 2 Van Weyenberg SJ, Van Turenhout ST, Bouma G, Van Waesberghe JH, Van der Peet DL, Mulder CJ. et al Double-balloon endoscopy as the primary method for small-bowel video capsule endoscope retrieval. Gastrointest Endosc 2010; 71: 535-41
• 3 Muñoz-Navas M. Capsule endoscopy. World J Gastroenterol 2009; 15: 1584-6
• 4 Manchalapati P, Cave D. Capsule retention: It's not all bad!. Visible Hum J Endosc 2010 9. 2
• 5 Liao Z, Gao R, Xu C, Li ZS. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: A systematic review. Gastrointest Endosc 2010; 71: 280-6
• 6 Bhattarai M, Bansal P, Khan Y. Longest duration of retention of video capsule: A case report and literature review. World J Gastrointest Endosc 2013; 5: 352-5
• 7 Tang SJ, Zanati S, Dubcenco E, Monkewich G, Arya N, Cirocco M. et al Capsule endoscopy regional transit abnormality revisited. Gastrointest Endosc 2004; 60: 1029-32
• 8 Li F, Gurudu SR, De Petris G, Sharma VK, Shiff AD, Heigh RI. et al Retention of the capsule endoscope: A single-center experience of 1000 capsule endoscopy procedures. Gastrointest Endosc 2008; 68: 174-80
• 9 Postgate AJ, Burling D, Gupta A, Fitzpatrick A, Fraser C. Safety, reliability and limitations of the given patency capsule in patients at risk of capsule retention: A 3-year technical review. Dig Dis Sci 2008; 53: 2732-8
• 10 Yang XY, Chen CX, Zhang BL, Yang LP, Su HJ, Teng LS. et al Diagnostic effect of capsule endoscopy in 31 cases of subacute small bowel obstruction. World J Gastroenterol 2009; 15: 2401-5