Capsule endoscopy retention as a helpful tool in the management of a young patient with suspected small-bowel disease |
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Authors: | Kalantzis Chryssostomos Apostolopoulos Periklis Mavrogiannis Panagiota Theodorou Dimitrios Papacharalampous Xenofon Bramis Ioannis Kalantzis Nikolaos |
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Affiliation: | 1. Gastroenterology Department,NIMTS Hospital, 10-12 Monis Petraki str. Athens, Greece 2. 1st Propedeutic Surgical Clinic, University of Athens Medical School, Hippocration Hospital, Athens, Greece 3. Radiology Department, University of Athens Medical School, Areteion Hospital, Athens, Greece |
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Abstract: | Capsule endoscopy is an easy and painless procedure permitting visualization of the entire small-bowel during its normal peristalsis. However, important problems exist concerning capsule retention in patients at risk of small bowel obstruction. The present report describes a young patient who had recurrent episodes of overt gastrointestinal bleeding of obscure origin, 18 years after small bowel resection in infancy for ileal atresia. Capsule endoscopy was performed, resulting in capsule retention in the distal small bowel. However, this event contributed to patient management by clearly identifying the site of obstruction and can be used to guide surgical intervention, where an anastomotic ulcer is identified. |
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Keywords: | Capsule endoscopy Retention Small bowel obstruction Obscure gastrointestinal bleeding Surgery |
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