Endoscopic removal of the wireless pH monitoring capsule in patients with severe discomfort

LAUR Repository

Show simple item record

dc.contributor.author Azar, Riad
dc.contributor.author Prakash, Chandra
dc.contributor.author Jonnalagadda, Sreenivasa
dc.contributor.author Clouse, Ray E.
dc.date.accessioned 2016-06-21T08:49:19Z
dc.date.available 2016-06-21T08:49:19Z
dc.date.copyright 2006 en_US
dc.date.issued 2016-06-21
dc.identifier.issn 0016-5107 en_US
dc.identifier.uri http://hdl.handle.net/10725/4116
dc.description.abstract Background Few patients have significant symptoms during wireless esophageal pH monitoring, and the capsule typically sloughs spontaneously. Severe discomfort during monitoring can occur that requires endoscopic dislodgement of the capsule. Objective To determine the frequency with which endoscopic capsule dislodgement is required and the outcomes of the intervention. Design Chart review. Setting University-based outpatient endoscopy facility. Patients A total of 452 consecutive patients undergoing wireless pH monitoring over a 3.5-year period. Interventions Endoscopic dislodgement of the capsule by using nudging with the endoscope tip and cold snare techniques. Results Eight subjects (1.8%) required endoscopic capsule dislodgement because of severe chest pain or odynophagia (n = 7) or severe foreign-body sensation (n = 1). Chest pain was the initial indication for pH monitoring in 5 (62.5%) of the subjects. Initial nudging with the endoscope tip successfully dislodged 2 capsules; continued nudging produced mucosal stripping in 3 subjects, which required hemostasis in 1. A cold snare was used successfully, without complication, to separate the capsule from stripped mucosa and as a primary removal method in the remainder of subjects. Capsule removal uniformly resulted in marked improvement of discomfort. Conclusions Endoscopic removal of the capsule was required in <2% of subjects who underwent wireless pH monitoring. Separation of the capsule from the mucosa with a cold snare may be the preferred method of accomplishing uncomplicated removal. en_US
dc.language.iso en en_US
dc.title Endoscopic removal of the wireless pH monitoring capsule in patients with severe discomfort en_US
dc.type Article en_US
dc.description.version Published en_US
dc.author.school SOM en_US
dc.author.idnumber 200902767 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Gastrointestinal Endoscopy en_US
dc.journal.volume 64 en_US
dc.journal.issue 5 en_US
dc.article.pages 828-832 en_US
dc.identifier.doi http://dx.doi.org/10.1016/j.gie.2006.06.006 en_US
dc.identifier.ctation Prakash, C., Jonnalagadda, S., Azar, R., & Clouse, R. E. (2006). Endoscopic removal of the wireless pH monitoring capsule in patients with severe discomfort. Gastrointestinal endoscopy, 64(5), 828-832. en_US
dc.author.email riad.azar@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url http://www.sciencedirect.com/science/article/pii/S0016510706020943 en_US

Files in this item

Files Size Format View

There are no files associated with this item.

This item appears in the following Collection(s)

Show simple item record

Search LAUR

Advanced Search


My Account