Korean Journal of Gastrointestinal Endoscopy 2006;32(2): 141-146.
크론병의 소장협착으로 31일만에 배출된 캡슐 내시경 1예
오정환·이인석·박재명·윤재호·한혜원·조유경·김상우·최명규·정인식
가톨릭대학교 의과대학 내과학교실
A Case of Capsule Retention for 31 Days Due to Stricture of Crohn's Disease
Jung Hwan Oh, M.D., In Seok Lee, M.D., Jae Myung Park, M.D., Jae Ho Yoon, M.D., Hae Won Han, M.D., Yu Kyung Cho, M.D., Sang Woo Kim, M.D., Myung Gyu Choi, M.D. and In Sik Chung, M.D.
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea
Abstract
Conventional modalities for examination of the small bowel have significant limitations. Capsule endoscopy can allow visualization of areas of the small bowel, and is used to diagnose the etiology of gastrointestinal bleeding, small bowel involvement of Crohn's disease, small bowel tumors, polyposis syndromes as well as drug induced ulcers. The problems associated with capsule endoscopy are capsule retention after ingestion and inability to visualize an entire small bowel due to limitation of battery capacity and inadequate image generation. There are no guidelines for procedures to remedy capsule retention. We report a case of natural passage of a capsule after 31 days in a patient with small bowel ulcer due Crohn's disease using medical treatment. (Korean J Gastrointest Endosc 2006;32:141146)
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