Complicated wireless capsule enteroscopy in a patient with Crohn's disease

Zuber-Jerger, Ina and Gelbmann, Cornelia M. and Endlicher, Esther and Ott, Claudia and Obermeier, Florian (2009) Complicated wireless capsule enteroscopy in a patient with Crohn's disease. EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 21 (8). pp. 952-957. ISSN 0954-691X,

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Abstract

An 18-year-old male experienced a first episode of Crohn's disease with inflammation of the colon, stenosis of small intestine and a fistula of the anal sphincter. After resection of the fistula and 30 cm of proximal ileum the patient remained free of symptoms under medication with azathioprine and mesalazine for 6 years. Then, blood in the stool occurred. Diagnostic work-up - gastroscopy and colonoscopy 2004 and 2006, magnetic resonance enteroclysis 2004 and 2006 and wireless capsule enteroscopy 2006 - revealed slight inflammation in the ileum but no bleeding source. The bleeding ceased, but after 2 uneventful years abdominal cramps appeared and diagnostic work-up (magnetic resonance enteroclysis, radiograph) located the capsule still in the terminal ileum proximal to an inflamed stenosis. Corticosteroids were subscribed for 4 weeks, but the capsule stayed in place. Surgery was discussed, but denied by the patient. Finally, the capsule could be taken out by double balloon enteroscopy. Eur J Gastroenterol Hepatol 21:952-954 (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins.

Item Type: Article
Uncontrolled Keywords: GALLBLADDER VARICES; PORTAL-HYPERTENSION; SONOGRAPHY; CIRRHOSIS; CHILDREN; complication; Crohn's disease; wireless capsule enteroscopy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Innere Medizin I
Depositing User: Dr. Gernot Deinzer
Date Deposited: 10 Sep 2020 12:06
Last Modified: 10 Sep 2020 12:06
URI: https://pred.uni-regensburg.de/id/eprint/28616

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