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Capsule retention caused by cryptogenic multifocal ulcerous stenosing enteritis.

Lin Lin¹, Kuiliang Liu¹, Hong Liu²

¹Gastroenterology, Beijing Shijitan Hospital. Capital Medical University, China.

Revista Espanola De Enfermedades Digestivas

|February 10, 2021

Summary

Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is rare. Capsule endoscopy (CE) aids diagnosis by revealing small bowel stenosis and ulcers, with capsule retention (CR) being a key indicator.

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Area of Science:

Gastroenterology
Diagnostic Endoscopy

Background:

Cryptogenic multifocal ulcerous stenosing enteritis (CMUSE) is a rare condition.
Capsule retention (CR) is an infrequent complication in CMUSE patients.

Purpose of the Study:

To evaluate the diagnostic utility of capsule endoscopy (CE) in CMUSE.
To highlight the significance of capsule retention (CR) in diagnosing CMUSE.

Main Methods:

Retrospective analysis of four CMUSE cases with CR.
Patients underwent capsule endoscopy (CE) without prior obstruction symptoms.
Surgical intervention was performed for capsule removal and lesion resection.

Main Results:

CE revealed circumferential small bowel stenosis, ulcers, mucosal edema, white spots, and nodules.
No patients presented with small bowel obstruction symptoms prior to CE.
All patients required surgery due to capsule retention and stenotic lesions.

Conclusions:

Capsule endoscopy (CE) is valuable for diagnosing CMUSE.
Capsule retention (CR) during CE serves as a critical alert for CMUSE diagnosis.