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首页> 外文期刊>International journal of colorectal disease. >Ileus secondary to wireless capsule enteroscopy.
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Ileus secondary to wireless capsule enteroscopy.

机译：肠梗阻继发于无线胶囊肠镜。

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Wireless capsule enteroscopy, being a novel, painless investigative technique, is reported to be significantly superior to push enteroscopy in its ability to find bleeding abnormalities in the small intestine. Here we report a case of acute jejunal obstruction following wireless capsule endoscopy. The patient had a 1-month history of gastrointestinal bleeding of unknown source. Further evaluation including gastroscopy and colonoscopy, angiography and computed tomography (angio-CT), and radio-labeled erythrocytes scan failed to reveal a source of bleeding. Therefore, wireless capsule enteroscopy was performed. Before capsule endoscopy, there was no clinical or imaging evidence of strictures or stenosis. At readmission it could be shown that there were two inflamed strictures of the small intestine. The capsule was detected at a stricture of the small intestine detected by abdominal ultrasonography and conventional computed tomography. The patient underwent a medical treatment with steroidal and other anti-inflammatory drugs for a total of 23 days and was discharged without complaints. Acute laparotomy after readmission with jejunal ileus proofed the capsule occluding two highly inflamed jejunal stenosis caused by Crohn disease. The present case demonstrates the potential for complications when wireless capsule enteroscopy is performed in the presence of intestinal strictures. Any history of inflammatory bowel disease, abdominal irradiation, cancer, obstruction, and abdominal surgery must be elicited in detail and may exclude the use of wireless capsule enteroscopy.
机译：无线胶囊肠镜是一种新颖的，无痛的研究技术，据报道在发现小肠出血异常方面具有明显优于推式肠镜的优势。在这里我们报告无线胶囊内窥镜检查后急性空肠梗阻的情况。该患者有1个月的胃肠道出血病史，来源不明。进一步的评估包括胃镜和结肠镜检查，血管造影和计算机断层扫描（血管造影），以及放射性标记的红细胞扫描均未能揭示出血的来源。因此，进行了无线胶囊肠镜检查。胶囊内镜检查之前，没有临床或影像学上的狭窄或狭窄的证据。重新入院时，可以证明小肠有两个发炎的狭窄。通过腹部超声检查和常规计算机体层摄影术在小肠狭窄处检测到胶囊。该患者接受了类固醇和其他抗炎药的治疗，共进行了23天的治疗，出院无任何投诉。再入空肠肠梗阻后进行的急性剖腹探查证明该胶囊囊括了两种由克罗恩病引起的高度发炎的空肠狭窄。当在肠狭窄的情况下进行无线胶囊肠镜检查时，本病例证明了潜在的并发症。任何炎症性肠病，腹部放射线，癌症，梗阻和腹部手术的病史都必须详细记录，并且可能不包括使用无线胶囊肠镜。

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