Abstract

QUINTERO, Víctor; TORO, Jerónimo  and  PENAGOS, Laura. Non operative management of symptomatic patients with retained endoscopic capsule in Crohn's disease. rev. colomb. cir. [online]. 2015, vol.30, n.3, pp.203-211. ISSN 2011-7582.

Introduction: Crohn's disease is a chronic disease of the gastrointestinal tract associated with multiple complications throughout the clinical course, which makes it difficult to diagnose and treat. Objective: To describe the diagnostic and therapeutic options in Crohn's disease presenting with retained endoscopic capsule, and to present two patients who developed symptomatic retention of the endoscopic capsule and its outcome with expectant management. Materials and Methods: Data from the medical records of the two patients were analyzed prior informed consent. Clinical data and diagnostic aids were analyzed. The findings and the therapeutic approach were described, and a review o the literature was conducted. . Results: Two patients with Crohn´s disease presented symptomatic retained endocopic capsule. They were successfully managed without surgical intervention, as indicated by the majority of reports in patients with symptoms and signs of intestinal obstruction, Conclusions: Retention of the endoscopic capsule is rare and its management throughout history has been surgical, especially in those patients with signs and symptoms of intestinal obstruction. However, with the passing of years appeared different therapeutic options, such as endoscopic or medical approaches, which have been successful and exhibit few complications as compared with the traditional surgical management.

Keywords : Capsule endoscopy; intestinal inflammatory diseases; Crohn disease; complications.

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