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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
Letter

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...

Notes

Funding

None.

Compliance with ethical standards

Conflicts of interest

The authors declare that they have no conflict of interests.

References

  1. 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
  2. 2.
    Wang A, Banerjee S, Barth BA, Bhat YM, Chauhan S, Gottlieb KT et al (2013) Wireless capsule endoscopy. Gastrointest Endosc 78(6):805–815CrossRefGoogle Scholar
  3. 3.
    Goenka MK (2011) Single center experience of capsule endoscopy in patients with obscure gastrointestinal bleeding. World J Gastroenterol 17(6):774CrossRefGoogle Scholar
  4. 4.
    Lepileur L, Dray X, Antonietti M, Iwanicki-Caron I, Grigioni S, Chaput U et al (2012) Factors associated with diagnosis of obscure gastrointestinal bleeding by video capsule enteroscopy. Clin Gastroenterol Hepatol 10(12):1376–1380CrossRefGoogle Scholar
  5. 5.
    Westerhof J, Weersma RK, Koornstra JJ (2009) Risk factors for incomplete small-bowel capsule endoscopy. Gastrointest Endosc 69(1):74–80CrossRefGoogle Scholar

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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