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Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

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Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
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Nasopharyngeal suctioning is a procedure to remove secretions from the upper part of the respiratory tract that the patient cannot clear independently. It helps maintain airway patency and prevents complications such as aspiration pneumonia.
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Pleural effusion is an abnormal fluid accumulation in the pleural cavity, a narrow space between the lungs and the chest wall. It is not a disease per se but rather a symptom or indication of an underlying disease. In normal circumstances, this space contains a small amount of fluid (5 to 15 mL), a lubricant facilitating the non-frictional movement of the pleural surfaces.
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Related Experiment Video

Updated: Feb 21, 2026

Laparoscopic Anatomical Resection of the Right Anterior Lobe Based on the Laennec Capsule Technique
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Bravo® Capsule Aspiration: A Rare Case Report.

Abdul Haseeb1, Noman Lateef1, Muhammad Bilal1

  • 1Department of Medicine, Dow University of Health Sciences, Karachi, Pakistan.

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Bravo capsule endoscopy is generally safe for diagnosing GERD. A rare case highlights the risk of capsule aspiration, necessitating prompt intubation and bronchoscopic removal.

Keywords:
endoscopygastroesophageal refluxventilation

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Area of Science:

  • Gastroenterology
  • Pulmonology
  • Medical Devices

Background:

  • Bravo capsule endoscopy is a valuable tool for diagnosing resistant gastroesophageal reflux disease (GERD).
  • While generally well-tolerated, potential complications exist, with capsule aspiration being exceedingly rare.
  • Understanding these rare events is crucial for patient safety and procedural refinement.

Observation:

  • A case report details a 52-year-old female experiencing oxygen desaturation requiring ventilation.
  • Initial radiography identified the Bravo capsule in the right main bronchus.
  • Flexible and rigid bronchoscopy confirmed the capsule's location in the right lower lobe bronchus and facilitated its removal.

Findings:

  • The Bravo capsule, used for GERD diagnosis, was aspirated and lodged in the right lower lobe bronchus.
  • Immediate endotracheal intubation and mechanical ventilation were required due to respiratory compromise.
  • Successful retrieval of the capsule was achieved via rigid bronchoscopy with grasper forceps.

Implications:

  • Capsule aspiration, though rare, is a serious complication of Bravo capsule endoscopy.
  • Prompt airway management, including intubation and ventilation, is critical in suspected aspiration cases.
  • Rigid bronchoscopy is an effective method for removing aspirated capsules from the lower airways.