| Frequency and clinical outcome of capsule retention during capsule endoscopy for GI bleeding of obscure origin. | |
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MedLine Citation:
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PMID: 15557969 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Capsule endoscopy is now commonly performed for GI bleeding of obscure origin. Regional transit abnormality refers to slowed capsule movement during capsule endoscopy. The frequency and clinical outcome of capsule retention and regional transit abnormalities are unknown. METHODS: Initial capsule endoscopies performed at a single institution in 52 patients with GI bleeding of obscure origin were reviewed retrospectively. For patients with capsule retention or regional transit abnormality, preprocedural characteristics, and post-procedural outcomes were recorded. OBSERVATIONS: Capsule retention occurred in 7 patients, all of whom remained asymptomatic. Regional transit abnormality was noted in 3 patients. Sources of bleeding were localized in all cases. Seven patients underwent surgery. Stricture induced by non-steroidal anti-inflammatory drugs was the major cause of retention. In all patients, anemia resolved during follow-up. CONCLUSIONS: Capsule retention and regional transit abnormality occurred in almost 20% of patients who had capsule endoscopy for GI bleeding of obscure origin. These capsule movement abnormalities led to the diagnosis of bleeding sources and thereby influenced patient management. A history of non-steroidal anti-inflammatory drugs use may be associated with an increased risk of capsule retention. |
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Authors:
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Dawn M Sears; Andrejs Avots-Avotins; Kim Culp; Michael W Gavin |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Gastrointestinal endoscopy Volume: 60 ISSN: 0016-5107 ISO Abbreviation: Gastrointest. Endosc. Publication Date: 2004 Nov |
Date Detail:
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Created Date: 2004-11-23 Completed Date: 2005-03-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0010505 Medline TA: Gastrointest Endosc Country: United States |
Other Details:
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Languages: eng Pagination: 822-7 Citation Subset: IM |
Affiliation:
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Division of Gastoenterology, Scott and White Memorial Hospital, Texas A&M Health Sciences Center, Temple, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Anti-Inflammatory Agents, Non-Steroidal / adverse effects Constriction, Pathologic Endoscopy, Gastrointestinal / adverse effects, methods* Female Gastrointestinal Hemorrhage / diagnosis*, etiology Humans Jejunum / pathology Male Middle Aged Retrospective Studies |
| Chemical | |
Reg. No./Substance:
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0/Anti-Inflammatory Agents, Non-Steroidal |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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