Small-bowel capsule endoscopy for obscure gastrointestinal bleeding in the ICU
Video capsule endoscopy (VCE) is nowadays considered a common diagnostic procedure for obscure gastrointestinal bleeding, when upper and lower digestive endoscopies fail to provide definite diagnosis . No study has addressed the relevance of VCE to critically ill patients with severe digestive bleeding.
We retrospectively reviewed all VCE (PillCamSB3®) procedures performed in our ICU between 2010 and 2017. We included patients with obscure gastrointestinal bleeding who had required the transfusion of at least two units of packed red blood cells within 1 week prior to the procedure, with capsule deposition and recording carried out in the ICU. We assessed the feasibility and yield of the procedure. Incomplete VCE procedure was defined as failure to reach the cecum prior to termination of battery lifetime. The study was approved by the ethics committee of the French Intensive Care Society.
Compliance with ethical standards
Conflicts of interest
The authors declare that they have no conflict of interests.
- 1.Ladas S, Triantafyllou K, Spada C, Riccioni M, Rey J-F, Niv Y et al (2010) European Society of Gastrointestinal Endoscopy (ESGE): recommendations (2009) on clinical use of video capsule endoscopy to investigate small-bowel, esophageal and colonic diseases. Endoscopy 42(03):220–227CrossRefGoogle Scholar