Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions
A 50-year-old man with anemia was referred to our hospital to undergo capsule endoscopy (CE), which revealed small intestinal ulcers. After 5 months of CE, he returned because of recurrent anemia without abdominal symptoms. Abdominal X-ray and computed tomography showed capsule retention in the smal...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Gastrointestinal Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/909360 |
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| author | Susumu Saigusa Masaki Ohi Hiroki Imaoka Tadanobu Shimura Ryo Uratani Yasuhiro Inoue Masato Kusunoki |
| author_facet | Susumu Saigusa Masaki Ohi Hiroki Imaoka Tadanobu Shimura Ryo Uratani Yasuhiro Inoue Masato Kusunoki |
| author_sort | Susumu Saigusa |
| collection | DOAJ |
| description | A 50-year-old man with anemia was referred to our hospital to undergo capsule endoscopy (CE), which revealed small intestinal ulcers. After 5 months of CE, he returned because of recurrent anemia without abdominal symptoms. Abdominal X-ray and computed tomography showed capsule retention in the small intestine at the pelvic cavity. The capsule remained at the same place for 7 days. We performed capsule retrieval by laparoscopy-assisted surgery with resection of the involved small intestine, including an ileal stricture. Resected specimen showed double ulcers with different morphologies, an ulcer scar with stricture, and a wide ulcer at the proximal side of the others. Each ulcer had different histopathological findings such as the degree of fibrosis and monocyte infiltration. These differences led us to consider that the proximal ulcer may have been secondarily induced by capsule retention. Our experience indicated that careful follow-up and the cooperation between medical institutions after CE examination should be undertaken for patients with incomplete examination, unknown excretion of the capsule, and/or ulcerative lesions despite the lack of abdominal symptoms. Additionally, a retained CE remaining over long periods and at the same place in the small intestine may lead to secondary ulceration. |
| format | Article |
| id | doaj-art-858caf676f4c457cb105525de23d633a |
| institution | Kabale University |
| issn | 2090-6528 2090-6536 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Gastrointestinal Medicine |
| spelling | doaj-art-858caf676f4c457cb105525de23d633a2025-02-03T06:48:06ZengWileyCase Reports in Gastrointestinal Medicine2090-65282090-65362014-01-01201410.1155/2014/909360909360Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical InstitutionsSusumu Saigusa0Masaki Ohi1Hiroki Imaoka2Tadanobu Shimura3Ryo Uratani4Yasuhiro Inoue5Masato Kusunoki6Department of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Surgery, Wakaba Hospital, 28-13 Minami-Chuo, Tsu, Mie 514-0832, JapanDepartment of Gastrointestinal and Pediatric Surgery, 2-174 Edobashi, Tsu, Mie 514-8507, JapanA 50-year-old man with anemia was referred to our hospital to undergo capsule endoscopy (CE), which revealed small intestinal ulcers. After 5 months of CE, he returned because of recurrent anemia without abdominal symptoms. Abdominal X-ray and computed tomography showed capsule retention in the small intestine at the pelvic cavity. The capsule remained at the same place for 7 days. We performed capsule retrieval by laparoscopy-assisted surgery with resection of the involved small intestine, including an ileal stricture. Resected specimen showed double ulcers with different morphologies, an ulcer scar with stricture, and a wide ulcer at the proximal side of the others. Each ulcer had different histopathological findings such as the degree of fibrosis and monocyte infiltration. These differences led us to consider that the proximal ulcer may have been secondarily induced by capsule retention. Our experience indicated that careful follow-up and the cooperation between medical institutions after CE examination should be undertaken for patients with incomplete examination, unknown excretion of the capsule, and/or ulcerative lesions despite the lack of abdominal symptoms. Additionally, a retained CE remaining over long periods and at the same place in the small intestine may lead to secondary ulceration.http://dx.doi.org/10.1155/2014/909360 |
| spellingShingle | Susumu Saigusa Masaki Ohi Hiroki Imaoka Tadanobu Shimura Ryo Uratani Yasuhiro Inoue Masato Kusunoki Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions Case Reports in Gastrointestinal Medicine |
| title | Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions |
| title_full | Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions |
| title_fullStr | Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions |
| title_full_unstemmed | Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions |
| title_short | Unawareness of a Prolonged Retained Capsule Endoscopy: The Importance of Careful Follow-Up and Cooperation between Medical Institutions |
| title_sort | unawareness of a prolonged retained capsule endoscopy the importance of careful follow up and cooperation between medical institutions |
| url | http://dx.doi.org/10.1155/2014/909360 |
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