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Retained Capsule Endoscope

Jayalaxmi S Aihole1, G S Vishnumurthy, M Narendra Babu

  • 1Departments of Pediatric Surgery and *Paediatric Gastroenterology, IGICH Bangalore, Karnataka, India. Correspondence to: Dr Jayalaxmi S Aihole, Department of Pediatric surgery, IGICH, Bangalore, Karnataka, India. jayalaxmisaihole@yahoo.com.

Indian Pediatrics
|November 28, 2016
PubMed

Insights

Capsule endoscopy is a valuable tool for visualizing the small intestine. However, its use in children requires careful consideration due to potential risks like impaction, as seen in this protein-losing enteropathy case.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Diagnostics

Background:

  • Capsule endoscopy offers non-invasive visualization of the small intestine, primarily established for adult diagnostics.
  • Protein-losing enteropathy (PLE) is a condition characterized by excessive protein loss into the gastrointestinal tract.

Observation:

  • A pediatric patient with generalized edema and suspected PLE underwent capsule endoscopy.
  • Standard investigations, including upper endoscopy, colonoscopy, and CT scans, yielded normal results.
  • The capsule was retained for over three weeks.

Findings:

  • Laparoscopy identified the retained capsule impacted within a dilated intestinal loop.
  • An ileal stricture was found to be the cause of the capsule impaction.
  • This highlights a significant risk associated with capsule endoscopy in pediatric patients.

Implications:

  • Capsule endoscopy in children necessitates careful patient selection and risk assessment.
  • The potential for impaction due to underlying gastrointestinal abnormalities must be considered.
  • Judicious use is recommended to ensure patient safety and diagnostic efficacy.
Abstract

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