title: Endoscopic placement of the small-bowel video capsule by using a capsule endoscope delivery device.
abstract: BACKGROUND
  Capsule endoscopy performed via the traditional peroral route is technically challenging in patients with dysphagia, gastroparesis, and/or abnormal upper-GI (UGI) anatomy.
  
  
  OBJECTIVE
  To describe the indications and outcomes of cases in which the AdvanCE capsule endoscope delivery device, which has recently been cleared by the Food and Drug Administration, was used.
  
  
  METHODS
  Retrospective, descriptive, case series.
  
  
  METHODS
  Tertiary care, university hospital.
  
  
  METHODS
  We report a case series of 16 consecutive patients in whom the AdvanCE delivery device was used. The study period was May 2005 through July 2006.
  
  
  METHODS
  Endoscopic delivery of the video capsule to the proximal small bowel by using the AdvanCE delivery device.
  
  
  METHODS
  Indications, technique, and completeness of small bowel imaging in patients who underwent endoscopic video capsule delivery.
  
  
  RESULTS
  The AdvanCE delivery device was used in 16 patients ranging in age from 3 to 74 years. The primary indications for endoscopic delivery included inability to swallow the capsule (10), altered UGI anatomy (4), and gastroparesis (2). Of the 4 patients with altered UGI anatomy, 3 had dual intestinal loop anatomy (ie, Bilroth-II procedure, Whipple surgery, Roux-en-Y gastric bypass) and 1 had a failed Nissen fundoplication. In all cases, the capsule was easily deployed without complication, and complete small intestinal imaging was achieved.
  
  
  CONCLUSIONS
  Small patient size.
  
  
  CONCLUSIONS
  Endoscopic placement of the Given PillCam by use of the AdvanCE delivery device was safe and easily performed in patients for whom capsule endoscopy would otherwise have been contraindicated or technically challenging.
authors.affiliation: Section of Gastroenterology and Hepatology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin 53792-5124, USA.
authors.forename: Jeremy P
authors.initials: JP
authors.lastname: Holden
authors.forename: Parul
authors.initials: P
authors.lastname: Dureja
authors.forename: Patrick R
authors.initials: PR
authors.lastname: Pfau
authors.forename: Darren C
authors.initials: DC
authors.lastname: Schwartz
authors.forename: Mark
authors.initials: M
authors.lastname: Reichelderfer
authors.forename: Robert H
authors.initials: RH
authors.lastname: Judd
authors.forename: Istvan
authors.initials: I
authors.lastname: Danko
authors.forename: Lalitha V
authors.initials: LV
authors.lastname: Iyer
authors.forename: Deepak V
authors.initials: DV
authors.lastname: Gopal
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D053705:Capsule Endoscopes; D002648:Child; D002675:Child, Preschool; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000628:therapy*; D020776:Endoscopes, Gastrointestinal; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D004867:Equipment Design; D004869:Equipment Safety; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis*; D007421:Intestine, Small / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D014741:Video Recording