Intensive Care Medicine

, Volume 45, Issue 2, pp 295–298 | Cite as

Small-bowel capsule endoscopy for obscure gastrointestinal bleeding in the ICU

  • Jacques Boutros
  • Sarah Leblanc
  • Frédéric PèneEmail author

Dear Editor,

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 [1]. 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.

A VCE procedure was performed in 12 patients (Table  1). Digestive bleeding was the...




Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interests.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Medical ICUCochin Hospital, Hôpitaux Universitaires Paris-Centre, Assistance Publique-Hôpitaux de ParisParisFrance
  2. 2.Gastroenterology UnitCochin Hospital, Hôpitaux Universitaires Paris-Centre, Assistance Publique-Hôpitaux de ParisParisFrance
  3. 3.University Paris DescartesParisFrance

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