Retention during capsule endoscopy: Is it a real problem in routine practice?

Objective This study evaluated the risks and outcomes of capsule retention during capsule endoscopy (CE) for investigating small bowel disease. Capsule retention is the most serious complication of CE. Methods Before CE, the gastrointestinal tract was evaluated for blockages with computerized tomogr...

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Veröffentlicht in:Journal of international medical research 2016-08, Vol.44 (4), p.968-975
Hauptverfasser: Ormeci, Asli Cifcibasi, Akyuz, Filiz, Baran, Bulent, Gokturk, Suut, Ormeci, Tugrul, Pinarbasi, Binnur, Mutluay Soyer, Ozlem, Evirgen, Sami, Akyuz, Umit, Karaca, Cetin, Demir, Kadir, Kaymakoglu, Sabahattin, Besisik, Fatih
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container_end_page 975
container_issue 4
container_start_page 968
container_title Journal of international medical research
container_volume 44
creator Ormeci, Asli Cifcibasi
Akyuz, Filiz
Baran, Bulent
Gokturk, Suut
Ormeci, Tugrul
Pinarbasi, Binnur
Mutluay Soyer, Ozlem
Evirgen, Sami
Akyuz, Umit
Karaca, Cetin
Demir, Kadir
Kaymakoglu, Sabahattin
Besisik, Fatih
description Objective This study evaluated the risks and outcomes of capsule retention during capsule endoscopy (CE) for investigating small bowel disease. Capsule retention is the most serious complication of CE. Methods Before CE, the gastrointestinal tract was evaluated for blockages with computerized tomography. Analysis of CE was made retrospectively. Results Capsule endoscopy was used to investigate obscure bleeding (90.2%; n = 324) or other symptoms (9.8%; n = 35). The capsule retention rate was 11/359 (3.1%); it was retained in a malignant lesion area (adenocarcinoma or melanoma) in two patients (18.2%), in the small bowel in an ulcerated area in five patients (45.5%), and in the oesophagus/stomach in four patients (36.4%) due to dysmotility. None of the patients had symptoms of obstruction. Conclusions Scanning patients before CE did not predict capsule retention. Retention is a complication of CE, but occurs as a result of the underlying disease. The risk of retention is increased in patients with motility disorders, suspected small bowel ulcers or malignancies.
doi_str_mv 10.1177/0300060516645420
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Capsule retention is the most serious complication of CE. Methods Before CE, the gastrointestinal tract was evaluated for blockages with computerized tomography. Analysis of CE was made retrospectively. Results Capsule endoscopy was used to investigate obscure bleeding (90.2%; n = 324) or other symptoms (9.8%; n = 35). The capsule retention rate was 11/359 (3.1%); it was retained in a malignant lesion area (adenocarcinoma or melanoma) in two patients (18.2%), in the small bowel in an ulcerated area in five patients (45.5%), and in the oesophagus/stomach in four patients (36.4%) due to dysmotility. None of the patients had symptoms of obstruction. Conclusions Scanning patients before CE did not predict capsule retention. Retention is a complication of CE, but occurs as a result of the underlying disease. The risk of retention is increased in patients with motility disorders, suspected small bowel ulcers or malignancies.</description><identifier>ISSN: 0300-0605</identifier><identifier>EISSN: 1473-2300</identifier><identifier>DOI: 10.1177/0300060516645420</identifier><identifier>PMID: 27377071</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Adult ; Aged ; Capsule Endoscopy - adverse effects ; Clinical Notes ; Demography ; Double-Balloon Enteroscopy ; Female ; Humans ; Male ; Postoperative Complications - etiology ; Practice Patterns, Physicians ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of international medical research, 2016-08, Vol.44 (4), p.968-975</ispartof><rights>The Author(s) 2016</rights><rights>The Author(s) 2016.</rights><rights>The Author(s) 2016 2016 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c434t-a38a119c97d1f31a6dc1622e0a16e6e992f92c11ef98c9efa32e552102fca3c73</citedby><cites>FETCH-LOGICAL-c434t-a38a119c97d1f31a6dc1622e0a16e6e992f92c11ef98c9efa32e552102fca3c73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536635/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5536635/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,864,885,21957,27844,27915,27916,44936,45324,53782,53784</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27377071$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ormeci, Asli Cifcibasi</creatorcontrib><creatorcontrib>Akyuz, Filiz</creatorcontrib><creatorcontrib>Baran, Bulent</creatorcontrib><creatorcontrib>Gokturk, Suut</creatorcontrib><creatorcontrib>Ormeci, Tugrul</creatorcontrib><creatorcontrib>Pinarbasi, Binnur</creatorcontrib><creatorcontrib>Mutluay Soyer, Ozlem</creatorcontrib><creatorcontrib>Evirgen, Sami</creatorcontrib><creatorcontrib>Akyuz, Umit</creatorcontrib><creatorcontrib>Karaca, Cetin</creatorcontrib><creatorcontrib>Demir, Kadir</creatorcontrib><creatorcontrib>Kaymakoglu, Sabahattin</creatorcontrib><creatorcontrib>Besisik, Fatih</creatorcontrib><title>Retention during capsule endoscopy: Is it a real problem in routine practice?</title><title>Journal of international medical research</title><addtitle>J Int Med Res</addtitle><description>Objective This study evaluated the risks and outcomes of capsule retention during capsule endoscopy (CE) for investigating small bowel disease. Capsule retention is the most serious complication of CE. Methods Before CE, the gastrointestinal tract was evaluated for blockages with computerized tomography. Analysis of CE was made retrospectively. Results Capsule endoscopy was used to investigate obscure bleeding (90.2%; n = 324) or other symptoms (9.8%; n = 35). The capsule retention rate was 11/359 (3.1%); it was retained in a malignant lesion area (adenocarcinoma or melanoma) in two patients (18.2%), in the small bowel in an ulcerated area in five patients (45.5%), and in the oesophagus/stomach in four patients (36.4%) due to dysmotility. None of the patients had symptoms of obstruction. Conclusions Scanning patients before CE did not predict capsule retention. Retention is a complication of CE, but occurs as a result of the underlying disease. The risk of retention is increased in patients with motility disorders, suspected small bowel ulcers or malignancies.</description><subject>Adult</subject><subject>Aged</subject><subject>Capsule Endoscopy - adverse effects</subject><subject>Clinical Notes</subject><subject>Demography</subject><subject>Double-Balloon Enteroscopy</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Postoperative Complications - etiology</subject><subject>Practice Patterns, Physicians</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0300-0605</issn><issn>1473-2300</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>AFRWT</sourceid><sourceid>EIF</sourceid><recordid>eNp1UU1r3DAQFaGh2aS951R07MXJjGRL6x5aSsjHwoZAac9CkccbBa_kSnZh_328bLI0gZwG5r15M_MeY6cIZ4han4MEAAUVKlVWpYADNsNSy0JM_Q9stoWLLX7EjnN-BCiFqsRHdiS01Bo0ztjtLxooDD4G3ozJhxV3ts9jR5xCE7OL_eYbX2TuB255ItvxPsX7jtbcB57iOPhAU8u6wTv68YkdtrbL9Pm5nrA_V5e_L26K5d314uLnsnClLIfCyrlFrF2tG2wlWtU4VEIQWFSkqK5FWwuHSG09dzW1VgqqKoEgWmel0_KEfd_p9uP9mho3fZBsZ_rk1zZtTLTevEaCfzCr-M9UlVRKVpPA12eBFP-OlAez9tlR19lAccwG56BhjgpgosKO6lLMOVG7X4NgtimYtylMI1_-P28_8GL7RCh2hGxXZB7jmMJk1_uCT0E7j6A</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Ormeci, Asli Cifcibasi</creator><creator>Akyuz, Filiz</creator><creator>Baran, Bulent</creator><creator>Gokturk, Suut</creator><creator>Ormeci, Tugrul</creator><creator>Pinarbasi, Binnur</creator><creator>Mutluay Soyer, Ozlem</creator><creator>Evirgen, Sami</creator><creator>Akyuz, Umit</creator><creator>Karaca, Cetin</creator><creator>Demir, Kadir</creator><creator>Kaymakoglu, Sabahattin</creator><creator>Besisik, Fatih</creator><general>SAGE Publications</general><scope>AFRWT</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160801</creationdate><title>Retention during capsule endoscopy: Is it a real problem in routine practice?</title><author>Ormeci, Asli Cifcibasi ; 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Capsule retention is the most serious complication of CE. Methods Before CE, the gastrointestinal tract was evaluated for blockages with computerized tomography. Analysis of CE was made retrospectively. Results Capsule endoscopy was used to investigate obscure bleeding (90.2%; n = 324) or other symptoms (9.8%; n = 35). The capsule retention rate was 11/359 (3.1%); it was retained in a malignant lesion area (adenocarcinoma or melanoma) in two patients (18.2%), in the small bowel in an ulcerated area in five patients (45.5%), and in the oesophagus/stomach in four patients (36.4%) due to dysmotility. None of the patients had symptoms of obstruction. Conclusions Scanning patients before CE did not predict capsule retention. Retention is a complication of CE, but occurs as a result of the underlying disease. 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subjects Adult
Aged
Capsule Endoscopy - adverse effects
Clinical Notes
Demography
Double-Balloon Enteroscopy
Female
Humans
Male
Postoperative Complications - etiology
Practice Patterns, Physicians
Treatment Outcome
Young Adult
title Retention during capsule endoscopy: Is it a real problem in routine practice?
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