A new complication from a new technology: what a general surgeon should know about wireless capsule endoscopy.
Wireless capsule endoscopy has revolutionized the diagnostic evaluation of the small intestine and is increasingly used by gastroenterologists. However, complications can occur with this seemingly safe procedure. We report two cases of Crohn's disease in which capsule endoscopy was performed with retention of the capsules. Both patients were taken to the operating room electively after careful preoperative planning to address both the surgical aspect of Crohn's disease and the retained capsule. We reviewed the literature on the use of wireless capsule endoscopy in patients with Crohn's disease and discuss the approach to a new surgical complication.
Department of Surgery, Department of Internal Medicine, University of Kentucky, Lexington, Kentucky 40536-0293, USA.
Phillip K
PK
Chang
Elizabeth G
EG
Holt
Willem J S
WJ
De Villiers
Bernard R
BR
Boulanger
D000328:Adult; D000368:Aged; D002214:Capsules / Q000009:adverse effects*; D003251:Constriction, Pathologic / Q000209:etiology; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis*; D013505:Digestive System Surgical Procedures; D004724:Endoscopy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000209:etiology* / Q000601:surgery; D008297:Male
D002214:Capsules