Endoscopy

Question 1

List 6 contraindications/relative contraindications for Capsule Endoscopy

Answer 1

1. Suspected obstruction
2. Bowel stricture
3. Bowel fistula
4. Known obstructing bowel tumor or lesion
5. Smaller size of patient
6. Allergy to material
7. Presence of pacemaker or other electromagnetic device that interferes with capsule endoscopy electronics

Question 2

What are the risks of capsule endoscopy?

Answer 2

• Capsule retention
• Aspiration
• Skin or mucosal irritation
• Vomiting
• Pain
• Sore throat
• Missed lesion
• Repeat study
• Equipment malfunction
• if capsule delivery device used - risk of standard endoscopy also present

Question 3

High risk populations for capsule retention (4)

Answer 3

• Crohn disease
• occult GI bleeding
• prior bowel surgery
• suspected bowel tumor or mass