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 |
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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 |
format | Article |
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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><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 ; 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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c434t-a38a119c97d1f31a6dc1622e0a16e6e992f92c11ef98c9efa32e552102fca3c73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Capsule Endoscopy - adverse effects</topic><topic>Clinical Notes</topic><topic>Demography</topic><topic>Double-Balloon Enteroscopy</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Postoperative Complications - etiology</topic><topic>Practice Patterns, Physicians</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Sage Journals GOLD Open Access 2024</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of international medical research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ormeci, Asli Cifcibasi</au><au>Akyuz, Filiz</au><au>Baran, Bulent</au><au>Gokturk, Suut</au><au>Ormeci, Tugrul</au><au>Pinarbasi, Binnur</au><au>Mutluay Soyer, Ozlem</au><au>Evirgen, Sami</au><au>Akyuz, Umit</au><au>Karaca, Cetin</au><au>Demir, Kadir</au><au>Kaymakoglu, Sabahattin</au><au>Besisik, Fatih</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retention during capsule endoscopy: Is it a real problem in routine practice?</atitle><jtitle>Journal of international medical research</jtitle><addtitle>J Int Med Res</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>44</volume><issue>4</issue><spage>968</spage><epage>975</epage><pages>968-975</pages><issn>0300-0605</issn><eissn>1473-2300</eissn><abstract>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.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27377071</pmid><doi>10.1177/0300060516645420</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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source | MEDLINE; DOAJ Directory of Open Access Journals; Sage Journals GOLD Open Access 2024; PubMed Central; Alma/SFX Local Collection |
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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