Endoscopy 2019; 51(04): S188
DOI: 10.1055/s-0039-1681726
ESGE Days 2019 ePoster podium presentations
Saturday, April 6, 2019 13:30 – 14:00: SB Capsule 2 ePoster Podium 7
Georg Thieme Verlag KG Stuttgart · New York

OUTCOMES AND MANAGEMENT STRATEGIES FOR CAPSULE RETENTION: A KOREAN CAPSULE ENDOSCOPY NATIONWIDE DATABASE REGISTRY STUDY

, , Research Group for Capsule Endoscopy/Small Bowel Endoscopy
YJ Lim
1   Dongguk University Ilsan Hospital, Goyangsi Kyunggido, Korea, Republic of
,
HS Lee
2   Department of Internal Medicine-GI/Hepatology, Kyungpook National University, Daegu, Korea, Republic of
,
SR Jeon
3   Soonchunhyang University College of Medicine, Seoul, Korea, Republic of
,
HJ Jang
4   Hallym University College of Medicine, Dongtan, Korea, Republic of
,
JJ Park
5   Yonsei University College of Medicine, Seoul, Korea, Republic of
,
J Chun
6   Seoul National University College of Medicine, Seoul, Korea, Republic of
,
SH Kang
7   Chungnam National Univertisy College of Medicine, Daejun, Korea, Republic of
,
SJ Nam
8   Kangwon National University School of Medicine, Chunchun, Korea, Republic of
,
Y Jung
3   Soonchunhyang University College of Medicine, Seoul, Korea, Republic of
,
KO Kim
9   Yeungnam University College of Medicine, Daegu, Korea, Republic of
,
YJ Lee
10   Keimyung University School of Medicine, Daegu, Korea, Republic of
,
SJ Boo
11   Jeju National University School of Medicine, Jeju, Korea, Republic of
,
JH Kim
12   Inje University College of Medicine, Pusan, Korea, Republic of
,
CH Yang
13   Dongguk University, Gyengsangbuk-do, Korea, Republic of
› Author Affiliations
Further Information

Publication History

Publication Date:
18 March 2019 (online)

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    Aims:

    The most concerning complication of capsule endoscopy (CE) is capsule retention (CR) in the gastrointestinal tract although clinical outcome and management of patients with CR are still uncertain. The aim of this study was to investigate clinical outcomes and management of CR.

    Methods:

    The CR results in multicenters between October 2002 and April 2018 were retrospectively reviewed. Data on patients' demographics, CE indication, findings, and details of management were analyzed.

    Results:

    A total of 2419 consecutive small bowel CE were performed. CR was detected in 18 cases (0.7%). The almost sites of CR were the small bowel (17 cases) followed by the esophagus (1 cases). Capsule removal was performed by surgery in 9 cases and endoscopically in 4 cases. Two retained capsule dislodged after steroid treatment, 1 case of CR resolved with stopping to take NSAIDs, 2 case of CR resolved without any intervention.

    Conclusions:

    This large multicenter study shows that CR is a rare complication with a favorable clinical outcome. About half of patients with CR were managed with non-surgical intervention.


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