Endoscopic placement of the small-bowel video capsule by using a capsule endoscope delivery device - 22/08/11
Reprint requests: Deepak V. Gopal, MD, Section of Gastroenterology and Hepatology, School of Medicine and Public Health, University of Wisconsin, H6/516, 600 Highland Ave, Madison, WI 53792-5124.Madison, Wisconsin, USA
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.
Design |
Retrospective, descriptive, case series.
Setting |
Tertiary care, university hospital.
Patients |
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.
Interventions |
Endoscopic delivery of the video capsule to the proximal small bowel by using the AdvanCE delivery device.
Main Outcome Measurements |
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.
Limitations |
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 endocsopy would otherwise have been contraindicated or technically challenging.
Le texte complet de cet article est disponible en PDF.Plan
| Presented, in part, as a poster presentation at Digestive Disease Week, May 21-24, 2206; Los Angeles, California (Gastrointest Endosc 2006;63:AB188). |
Vol 65 - N° 6
P. 842-847 - mai 2007 Retour au numéro
Article précédent
- SpyGlass single-operator peroral cholangiopancreatoscopy system for the diagnosis and therapy of bile-duct disorders: a clinical feasibility study (with video)
- Yang K. Chen, Douglas K. Pleskow
- Utility of double-balloon colonoscopy for completion of colon examination after incomplete colonoscopy with conventional colonoscope
- Shabana F. Pasha, M. Edwyn Harrison, Ananya Das, Carolyn M. Corrado, Kristine N. Arnell, Jonathan A. Leighton
Bienvenue sur EM-consulte, la référence des professionnels de santé.
L’accès au texte intégral de cet article nécessite un abonnement.
Déjà abonné à cette revue ?