Double balloon discovers double capsules - 23/08/11
Doi : 10.1016/j.gie.2008.01.038
| Commentary Double-balloon endoscopy, double capsule…I would have expected this patient to have a duplication. But diverticulosis of the small bowel is not a bad second choice, in the sense of an alternate route (Lat: deverticulum, a bypass). In fact, the small bowel is the second place that diverticula occur in large number, the first, of course, being the colon. Jejunoileal diverticulosis is seen in 0.5% to 2.3% of small bowel series, and usually they are asymptomatic. In this patient, they also were asymptomatic, except they provided a nidus within which the capsules could lodge. This, in fact, is one of the ways these diverticula cause problems, eg, when vegetable matter lodges there and forms an enterolith, subsequently, to cause bleeding, perforation, or obstruction. Fortunately, the capsules were retrieved before and without adverse incident. My guess is that only 1 bill was submitted for services rendered, despite the likelihood that the endoscopist had twice as much fun getting the 2 capsules out as he would have had with just 1. Lawrence J. Brandt, MD Associate Editor for Focal Points |
© 2008
American Society for Gastrointestinal Endoscopy. Publié par Elsevier Masson SAS. Tous droits réservés.
Vol 68 - N° 2
P. 377-378 - août 2008 Retour au numéro
Article précédent
- In vivo diagnosis of whipworm (Trichuris trichiura) with high-definition magnifying colonoscope (with video)
- Hiroki Taguchi, Hironori Yamamoto, Tomohiko Miyata, Yoshikazu Hayashi, Keijiro Sunada, Kentaro Sugano
- Safety of conventional and wireless capsule endoscopy in patients supported with nonpulsatile axial flow Heart-Mate II left ventricular assist device
- Adel Y. Daas, Michael B. Small, Haim Pinkas, Patrick G. Brady
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 ?