scholarly journals Small Bowel Obstruction with Perforation Secondary to PillCam

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
Toan Pham ◽  
Ashley Miller ◽  
Domenic La Paglia ◽  
Alvin Cham
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Iron Deficiency Anaemia ◽  
Wireless Capsule Endoscopy ◽  
Deficiency Anaemia ◽  
X Ray ◽  
Computed Topography ◽  
Wireless Capsule

We present a case of a 63-year-old female who presented with small bowel obstruction and perforation secondary to a retained PillCam®. She initially presented with iron-deficiency anaemia (haemoglobin 44 g/L, ferritin 190 mcg/L). After unremarkable upper and lower gastrointestinal endoscopies and biopsies, she was referred for wireless capsule endoscopy (WCE). Four days afterwards she re-presented with small bowel obstruction and perforation related to the PillCam, which was confirmed on X-ray, on computed topography (CT), and at laparotomy.

scholarly journals Iron deficiency anaemia 10 years after small bowel resection in infancy

Gut ◽  
2007 ◽  
Vol 56 (4) ◽  
pp. 463-463 ◽  
Author(s):  
R K Weersma ◽  
A J Limburg ◽  
A Karrenbeld ◽  
J J Koornstra
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Iron Deficiency Anaemia ◽  
Bowel Resection ◽  
Small Bowel Resection ◽  
Deficiency Anaemia

scholarly journals PTU-144 Small-bowel capsule endoscopy for iron deficiency anaemia alone; experience from a tertiary centre

Gut ◽  
2012 ◽  
Vol 61 (Suppl 2) ◽  
pp. A244.2-A244
Author(s):  
D E Yung ◽  
J H Lam ◽  
S Douglas ◽  
A Koulaouzidis ◽  
J N Plevris
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Capsule Endoscopy ◽  
Iron Deficiency Anaemia ◽  
Deficiency Anaemia ◽  
Tertiary Centre

scholarly journals Managing Adhesive Small Bowel Obstruction with Water-Soluble Contrast Should Be Protocolized: A Retrospective Analysis

2018 ◽  
Vol 04 (03) ◽  
pp. e123-e128 ◽  
Author(s):  
Jakob Köstenbauer
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Plain Film ◽  
Water Soluble ◽  
Adhesive Small Bowel Obstruction ◽  
Complication Rates ◽  
Oral Contrast ◽  
X Ray ◽  
Water Soluble Contrast

Aim Current literature emphasizes the effectiveness of computed tomography (CT) and water-soluble contrast agent, Gastrografin, in the investigation of adhesive small bowel obstruction (ASBO). As there is no management protocol for ASBO at our institution, the aim of this study was to determine the effect of imaging methods—CT, Gastrografin challenge (GC), or plain-film X-ray—on patient outcomes in a clinical setting. Methods All 163 emergency presentations of ASBO during the study period between December 2010 and September 2012 were collected retrospectively. Cases were divided into three groups: CT with oral contrast, GC, or plain-film X-ray only. The primary outcome was time to theater. Results Patients investigated with X-ray only were significantly less likely to require surgery (6% in plain-film X-ray vs. 35% and 20% in CT and GC, respectively; p = 0.003). In cases requiring surgery, GC was associated with a 24-hour longer time to imaging than CT (p < 0.001). The time to theater was 71:25 hours for GC versus 46:39 for CT (p = 0.039). There was no significant difference in bowel resection or complication rates. Conclusion Patients undergoing water-soluble contrast studies were subjected to unnecessary delays in their clinical course. These delays are costly and avoidable. The development and implementation of an evidence-based protocol for the management of small bowel obstruction is strongly recommended. The lack of a protocol likely caused significant delays in Gastrografin administration, reducing its known benefits for clinical decision-making and length of stay.

The use of small bowel capsule endoscopy in iron deficiency anaemia

2013 ◽  
Vol 25 (3) ◽  
pp. 327-332 ◽  
Author(s):  
Grainne E. Holleran ◽  
Sarah A. Barry ◽  
Orla J. Thornton ◽  
Mark J. Dobson ◽  
Deirdre A. McNamara
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Capsule Endoscopy ◽  
Iron Deficiency Anaemia ◽  
Deficiency Anaemia

scholarly journals Case Report: Complicated Meckel Diverticulum Spectrum in Children

2021 ◽  
Vol 8 ◽  
Author(s):  
Gunadi ◽  
Wahyu Damayanti ◽  
Robin Perdana Saputra ◽  
Ramadhita ◽  
Ibnu Sina Ibrohim ◽  
...  
Keyword(s):  
Small Bowel ◽  
Iron Deficiency ◽  
Small Bowel Obstruction ◽  
Iron Deficiency Anemia ◽  
Bowel Obstruction ◽  
Bowel Resection ◽  
Primary Anastomosis ◽  
Small Bowel Resection ◽  
Deficiency Anemia ◽  
Meckel Diverticulum

Background: Meckel diverticulum (MD) is the most common congenital anomaly of the intestines, with an incidence of 2% of the general population. It can present as various clinical features with complications and be life threatening if diagnosis is delayed and treatment late.Case Presentation: We report three pediatric cases with complicated MD: one female presented with small-bowel obstruction, one male with peritonitis, and one female with severe iron-deficiency anemia, without gross gastrointestinal bleeding nor any ectopic gastric mucosa. All patients underwent exploratory laparotomy, segmental small-bowel resection, and primary anastomosis. They successfully recovered and were uneventfully discharged on the fourth, seventh, and 10th postoperative days, respectively.Conclusions: MD can present with various complication spectrums, including small-bowel obstruction, peritonitis, and severe iron-deficiency anemia, which may cause difficulty in definitive diagnosis, particularly in children. Segmental small-bowel resection and primary anastomosis are effective surgical approaches and show good outcomes for MD patients.

scholarly journals Small-bowel obstruction secondary to wireless capsule enteroscopy: extraction of the capsule without enterotomy

Endoscopy ◽  
2007 ◽  
Vol 39 (S 1) ◽  
pp. E286-E287 ◽  
Author(s):  
O. Irkorucu ◽  
O. Tascilar ◽  
A. Emre ◽  
G. Cakmak ◽  
K. Karakaya ◽  
...  
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Wireless Capsule
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