Small Bowel Obstruction and Capsule Retention by a Small Bowel Ulcer That Was Not Found on Capsule Endoscopy

Korean J Gastrointest Endosc > Volume 40(1); 2010 > Article

Korean Journal of Gastrointestinal Endoscopy 2010;40(1): 58-61.

캡슐 내시경에서 발견되지 않은 궤양에 의한 소장 폐쇄와 캡슐 저류

박관식ㆍ김지현ㆍ류충헌ㆍ서효림ㆍ최윤정ㆍ하승인ㆍ이상헌ㆍ설상영

인제대학교 의과대학 내과학교실

Small Bowel Obstruction and Capsule Retention by a Small Bowel Ulcer That Was Not Found on Capsule Endoscopy

Kwan Sik Park, M.D., Ji Hyun Kim, M.D., Choong Heon Ryu, M.D., Hyo Rim Seo, M.D., Yun Jung Choi, M.D., Seoung In Ha, M.D., Sang Heon Lee, M.D. and Sang Young Seol, M.D.

Department of Internal Medicine, College of Medicine, Inje University, Busan, Korea

Abstract

Capsule endoscopy (CE) is a valuable modality for directly examining the small bowel in a relatively noninvasive and safe manner. CE is being increasingly used for obscure gastrointestinal bleeding, Crohn's disease, drug induced ulcer and small bowel tumor. Although capsule retention is a relatively infrequent complication, small bowel obstruction and strictures have been considered contraindications to CE. But some authors have reported that capsule endoscopy can be safely used to help identify the etiology and site of small bowel obstruction, and the retention of the capsule indicates the presence of a lesion requiring surgery. We report here on a case of small bowel obstruction and capsule retention by a small bowel ulcer, and the small bowel ulcer was not found when performing capsule endoscopy. (Korean J Gastrointest Endosc 2010;40:58-61)

Key Words: Capsule endoscopy, Capsule retention, Small bowel obstruction, Small bowel ulcer