Endoscopic placement of the small-bowel video capsule by using a capsule endoscope delivery device.
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.
Holden
Jeremy P
JP
Section of Gastroenterology and Hepatology, School of Medicine and Public Health, University of Wisconsin, Madison, Wisconsin 53792-5124, USA.
Dureja
Parul
P
Pfau
Patrick R
PR
Schwartz
Darren C
DC
Reichelderfer
Mark
M
Judd
Robert H
RH
Danko
Istvan
I
Iyer
Lalitha V
LV
Gopal
Deepak V
DV
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