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Colonic obstruction caused by video capsule entrapment in a metal stent

Toth, Ervin LU ; Marthinsen, Lars; Bergström, Maria ; Park, Per Ola; Månsson, Peter LU ; Nemeth, Artur LU ; Johansson, Gabriele Wurm LU and Thorlacius, Henrik LU (2017) In Annals of Translational Medicine 5(9).
Abstract

Video capsule endoscopy (VCE) has become the method of choice for visualizing the small bowel mucosa and is generally considered to be a safe method. Although uncommon, the most feared complication of VCE is capsule retention that can potentially lead to life-threatening bowel obstruction. Herein, we present for the first time a case of capsule retention in a colonic stent. The patient had known Crohn's disease with colonic involvement and underwent an uneventful but incomplete small bowel VCE for assessment of disease activity and extension for optimizing medical treatment. Five months later, the patient presented with intestinal obstruction due to a Crohn's-stricture in the sigmoid colon, which was successfully decompressed with a... (More)

Video capsule endoscopy (VCE) has become the method of choice for visualizing the small bowel mucosa and is generally considered to be a safe method. Although uncommon, the most feared complication of VCE is capsule retention that can potentially lead to life-threatening bowel obstruction. Herein, we present for the first time a case of capsule retention in a colonic stent. The patient had known Crohn's disease with colonic involvement and underwent an uneventful but incomplete small bowel VCE for assessment of disease activity and extension for optimizing medical treatment. Five months later, the patient presented with intestinal obstruction due to a Crohn's-stricture in the sigmoid colon, which was successfully decompressed with a self-expandable metal stent. Nonetheless, two days later the patient showed signs of bowel obstruction again and abdominal X-ray showed that the capsule was trapped in the metal stent in the sigmoid colon. Subsequently, emergency surgery was performed and the patient fully recovered. Intestinal capsule retention necessitating interventional removal is rare. This report describes a unique case of capsule retention in a colonic metal stent and highlights the potential risk of performing capsule endoscopy examinations in patients with gastrointestinal stents.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Capsule endoscopy, Colon, Complication, Crohn's disease, Metal stent
in
Annals of Translational Medicine
volume
5
issue
9
publisher
AME Publishing Company
external identifiers
  • scopus:85019259219
  • wos:000408638700007
ISSN
2305-5839
DOI
10.21037/atm.2017.03.79
language
English
LU publication?
yes
id
a9ade0a5-9540-49f5-b0e2-0a02a781624a
date added to LUP
2017-06-08 16:27:27
date last changed
2017-09-18 11:39:49
@article{a9ade0a5-9540-49f5-b0e2-0a02a781624a,
  abstract     = {<p>Video capsule endoscopy (VCE) has become the method of choice for visualizing the small bowel mucosa and is generally considered to be a safe method. Although uncommon, the most feared complication of VCE is capsule retention that can potentially lead to life-threatening bowel obstruction. Herein, we present for the first time a case of capsule retention in a colonic stent. The patient had known Crohn's disease with colonic involvement and underwent an uneventful but incomplete small bowel VCE for assessment of disease activity and extension for optimizing medical treatment. Five months later, the patient presented with intestinal obstruction due to a Crohn's-stricture in the sigmoid colon, which was successfully decompressed with a self-expandable metal stent. Nonetheless, two days later the patient showed signs of bowel obstruction again and abdominal X-ray showed that the capsule was trapped in the metal stent in the sigmoid colon. Subsequently, emergency surgery was performed and the patient fully recovered. Intestinal capsule retention necessitating interventional removal is rare. This report describes a unique case of capsule retention in a colonic metal stent and highlights the potential risk of performing capsule endoscopy examinations in patients with gastrointestinal stents.</p>},
  articleno    = {199},
  author       = {Toth, Ervin and Marthinsen, Lars and Bergström, Maria  and Park, Per Ola and Månsson, Peter and Nemeth, Artur and Johansson, Gabriele Wurm and Thorlacius, Henrik},
  issn         = {2305-5839},
  keyword      = {Capsule endoscopy,Colon,Complication,Crohn's disease,Metal stent},
  language     = {eng},
  month        = {05},
  number       = {9},
  publisher    = {AME Publishing Company},
  series       = {Annals of Translational Medicine},
  title        = {Colonic obstruction caused by video capsule entrapment in a metal stent},
  url          = {http://dx.doi.org/10.21037/atm.2017.03.79},
  volume       = {5},
  year         = {2017},
}