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Updated: Jul 16, 2026
07:33
A Mouse Model of Intestinal Partial Obstruction
Published on: March 5, 2018
Acute symptomatic small bowel obstruction due to capsule impaction.
Otto S Lin1, John J Brandabur, Drew B Schembre
1Gastroenterology Section, Virginia Mason Medical Center, Seattle, WA 98101, USA.
Gastrointestinal Endoscopy
|March 27, 2007
Summary
Capsule endoscopy can lead to serious complications like bowel obstruction and perforation. Patients undergoing capsule endoscopy should be informed about the risk of capsule impaction and its potential consequences.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Diagnostic Endoscopy
Background:
- Capsule endoscopy is a valuable diagnostic tool for small bowel evaluation.
- Capsule impaction is a known complication, though symptomatic obstruction is rare.
Observation:
- This case series presents three instances of capsule impaction leading to acute symptomatic small bowel obstruction.
- One case also involved perforation, necessitating emergent surgical intervention.
- The patients presented with severe abdominal pain, vomiting, and leukocytosis.
Findings:
- Capsule impaction can cause acute, symptomatic small bowel obstruction.
- The impaction occurred at pre-existing strictures or masses, including Crohn's disease, duodenal masses, and radiation enteritis.
- Prompt diagnosis and intervention are crucial for managing these complications.
Implications:
- The risk of acute symptomatic small bowel obstruction should be clearly communicated during the informed consent process for capsule endoscopy.
- Physicians should maintain a high index of suspicion for capsule impaction in patients presenting with relevant symptoms post-procedure.
- Further research may be warranted to identify predictive factors for impaction and optimize patient selection.
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