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Capsule endoscopy retention in the upper esophagus: A comprehensive literature review

Capsule endoscopy is the first-line investigation for small bowel disorders. Capsule retention in the small bowel is the most common adverse event. Retention has also been reported in the upper esophagus; however, guidance for diagnosis and management is lacking. This review aims to summarize the di...

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Autores principales: Arzivian, Arteen, Wiseman, Elke, Ko, Yanna
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10489204/
https://www.ncbi.nlm.nih.gov/pubmed/37682178
http://dx.doi.org/10.1097/MD.0000000000035113
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author Arzivian, Arteen
Wiseman, Elke
Ko, Yanna
author_facet Arzivian, Arteen
Wiseman, Elke
Ko, Yanna
author_sort Arzivian, Arteen
collection PubMed
description Capsule endoscopy is the first-line investigation for small bowel disorders. Capsule retention in the small bowel is the most common adverse event. Retention has also been reported in the upper esophagus; however, guidance for diagnosis and management is lacking. This review aims to summarize the diagnostic workup and management of this complication. We conducted a systematic literature review by searching 5 databases; relevant keywords and MeSH terms were used. Exclusion criteria included publications of non-adult patients in non-English languages. Data from eligible studies were analyzed using IBM SPSS 29. Twelve case reports were found (9 males, median age of 76 years); 10 capsule retentions in Zenker’s diverticulum and 2 in the cricopharyngeus. Most patients were asymptomatic before capsule endoscopy. Capsule retention was symptomatic in half of the patients (6/12). A neck X-ray confirmed the diagnosis in all patients. Endoscopic capsule retrieval was achieved by different tools (9/12) (Roth’s net was the most used tool, 6 patients); retrieval required rigid endoscopy in a few cases (3/12). Endoscopic capsule re-insertion was successful; using an overtube to bypass the upper esophagus was the safest method. In conclusion, capsule retention in the upper esophagus is uncommon yet exposes patients to the risk of unnecessary procedures. Symptoms of swallowing and medium-to-large size Zenker’s diverticulum should be considered contra-indications for capsule endoscopy. Neck and chest X-rays are required for elderly patients who do not pass the capsule 2 weeks after ingestion. Endoscopic retrieval using Roth’s net and re-insertion through an overtube should be considered first-line management.
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spelling pubmed-104892042023-09-09 Capsule endoscopy retention in the upper esophagus: A comprehensive literature review Arzivian, Arteen Wiseman, Elke Ko, Yanna Medicine (Baltimore) 4500 Capsule endoscopy is the first-line investigation for small bowel disorders. Capsule retention in the small bowel is the most common adverse event. Retention has also been reported in the upper esophagus; however, guidance for diagnosis and management is lacking. This review aims to summarize the diagnostic workup and management of this complication. We conducted a systematic literature review by searching 5 databases; relevant keywords and MeSH terms were used. Exclusion criteria included publications of non-adult patients in non-English languages. Data from eligible studies were analyzed using IBM SPSS 29. Twelve case reports were found (9 males, median age of 76 years); 10 capsule retentions in Zenker’s diverticulum and 2 in the cricopharyngeus. Most patients were asymptomatic before capsule endoscopy. Capsule retention was symptomatic in half of the patients (6/12). A neck X-ray confirmed the diagnosis in all patients. Endoscopic capsule retrieval was achieved by different tools (9/12) (Roth’s net was the most used tool, 6 patients); retrieval required rigid endoscopy in a few cases (3/12). Endoscopic capsule re-insertion was successful; using an overtube to bypass the upper esophagus was the safest method. In conclusion, capsule retention in the upper esophagus is uncommon yet exposes patients to the risk of unnecessary procedures. Symptoms of swallowing and medium-to-large size Zenker’s diverticulum should be considered contra-indications for capsule endoscopy. Neck and chest X-rays are required for elderly patients who do not pass the capsule 2 weeks after ingestion. Endoscopic retrieval using Roth’s net and re-insertion through an overtube should be considered first-line management. Lippincott Williams & Wilkins 2023-09-08 /pmc/articles/PMC10489204/ /pubmed/37682178 http://dx.doi.org/10.1097/MD.0000000000035113 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle 4500
Arzivian, Arteen
Wiseman, Elke
Ko, Yanna
Capsule endoscopy retention in the upper esophagus: A comprehensive literature review
title Capsule endoscopy retention in the upper esophagus: A comprehensive literature review
title_full Capsule endoscopy retention in the upper esophagus: A comprehensive literature review
title_fullStr Capsule endoscopy retention in the upper esophagus: A comprehensive literature review
title_full_unstemmed Capsule endoscopy retention in the upper esophagus: A comprehensive literature review
title_short Capsule endoscopy retention in the upper esophagus: A comprehensive literature review
title_sort capsule endoscopy retention in the upper esophagus: a comprehensive literature review
topic 4500
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10489204/
https://www.ncbi.nlm.nih.gov/pubmed/37682178
http://dx.doi.org/10.1097/MD.0000000000035113
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