title: Capsule endoscopy removal through flexible bronchoscopy.
abstract: Since its introduction over 9 years ago, capsule video endoscopy has become increasingly popular within the gastroenterology community, leading to its use in a growing number of patients including the elderly. With the widespread adoption of this diagnostic modality within the elderly population comes the added risk of capsule aspiration. We present such a case where a 90-year-old patient was admitted after accidental aspiration of a capsule. Removal of the capsule posed a therapeutic challenge. In the article, we discuss the novel use of a Roth Net expandable foreign body extractor to remove the capsule using a flexible bronchoscope with minimal need for sedation. As video capsule endoscopy is used more routinely in elderly patients and clinical pulmonologists will be more frequently called up to assist in foreign body removal, our experience highlights that it is possible to remove these large capsules with a flexible bronchoscope and avoid the need for rigid bronchoscopy in this high-risk patient group.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Wake Forest University Baptist Medical Center, Winston-Salem, NC 27157, USA.
authors.forename: Kirk
authors.initials: K
authors.lastname: Depriest
authors.forename: Ali S
authors.initials: AS
authors.lastname: Wahla
authors.forename: Russell
authors.initials: R
authors.lastname: Blair
authors.forename: Bennett
authors.initials: B
authors.lastname: Fein
authors.forename: Robert
authors.initials: R
authors.lastname: Chin
mesh_terms: D000369:Aged, 80 and over; D001980:Bronchi; D001999:Bronchoscopy / Q000379:methods*; D053704:Capsule Endoscopy; D005547:Foreign Bodies / Q000601:surgery*; D006801:Humans; D008297:Male; D001261:Pulmonary Atelectasis / Q000209:etiology / Q000601:surgery; D053120:Respiratory Aspiration / Q000150:complications*