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DOI: 10.1055/s-0029-1214491
© Georg Thieme Verlag KG Stuttgart · New York
Endoscopic deployment of the wireless capsule using a capsule delivery device in pediatric patients: a case series
Publication History
submitted7 October 2008
accepted after revision8 January 2009
Publication Date:
01 April 2009 (online)
The aim of this study was to review the use of the AdvanCE capsule endoscopy delivery device (US Endoscopy, Mentor, Ohio, USA) in pediatric patients who are too young to safely follow the wireless capsule swallowing instructions. Nine patients (mean age 6.6 years; SD ± 1.8 years) underwent capsule deployment. Indications for the procedure were the evaluation of suspected inflammatory bowel disease in eight patients and evaluation of protein-losing enteropathy in one patient. The capsule was successfully deployed in the first part of the duodenum in seven patients and in the pyloric canal in one patient. In another patient the capsule was deployed in the gastric antrum and required endoscopic retrieval due to abdominal pain and failure of the capsule to traverse the pylorus. The wireless capsule successfully passed in the remaining eight patients without any complications. The AdvanCE capsule endoscopy delivery device appears to be a safe and technically easy method of wireless capsule delivery in pediatric patients. Capsule deployment should be in the duodenum whenever possible. Further studies of the use of this device in pediatric patients are warranted.
References
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O. AtayMD
Department of Pediatric Gastroenterology
Cleveland Clinic Children’s Hospital
9500 Euclid Avenue/Desk A111
Cleveland
OH 44195
USA
Fax: +1-216-444-2974
Email: atayo@ccf.org