Korean J Gastrointest Endosc.  2007 Dec;35(6):399-403.

Retrieval of a Retained Capsule due to Isolated Crohn's Enteritis by Means of Double Balloon Enteroscopy

• Shim KH
• Jung SY
• Song JH
• Lee H
• Kim EH
• Jeon EJ
• Oh JH
• Jeong JJ
• Choi H
• Choi SW

Abstract

Capsule endoscopy is being increasingly used for investigating GI bleeding of an obscure origin and also the bleeding that's due to Crohn's disease. Capsule endoscopy is a safe procedure with few complications. Complications of capsule endoscopy are capsule retention, incomplete small bowel examination, swallowing disorders and technical complications. However, capsule retention still remains a major concern. Crohn's disease may rarely show its first manifestation as GI bleeding. We present here a case of obscure GI bleeding in which the diagnosis of isolated Crohn's enteritis was made by using wireless CE. The retained capsule at the jejunal stricture of Crohn's disease was successfully retrieved by performing double balloon enteroscopy.

Keyword

Crohn disease; Capsule endoscopy; Gastrointestinal hemorrhage

MeSH Terms

Capsule Endoscopy
Constriction, Pathologic
Crohn Disease*
Deglutition Disorders
Diagnosis
Double-Balloon Enteroscopy*
Gastrointestinal Hemorrhage
Hemorrhage
Methods