Our data suggest that VCE detects small-bowel tumors in a small proportion of patients undergoing this examination, but the early use of this tool can shorten the diagnostic work-up and influence the subsequent management of these patients.

Summary Background Historically, cryopreservation of equine embryos >300 μm gave poor pregnancy rates until researchers collapsed the blastocoele cavity and aspirated the blastocoele fluid prior to vitrification. Objective To determine if aspiration of the blastocoele fluid prior to vitrification is essential for post warming survival. Study design In vivo experiments. Methods Fifty embryos were recovered on day 7–8 and washed in holding medium (HM; M‐199HEPES + 20% FBS + antibiotics). Embryos were punctured using a micromanipulator mounted 30 μm biopsy needle; following this 28 had >90% of their blastocoelic fluid actively aspirated while the remaining 22 were not‐aspirated. Embryos were then vitrified using a two‐step process with increasing concentrations of DMSO and ethylene glycol (7.5–15% v:v), and 0.5 mol/L sucrose in the final solution before being loaded onto a Cryolock device and plunged into liquid nitrogen. The embryos were warmed by plunging the Cryolock tip into HM with 1 mol/L sucrose at 37°C. After 1 min, the embryos were transferred to HM + 0.5 mol/L sucrose at RT for 4 min before transfer into HM for a further 4 min prior to transfer to a recipient mare. Results Mean (±s.e.) embryo diameter was not significantly different between the punctured and punctured plus aspirated group (646.4 ± 61.7 vs. 754.8 ± 59.1 μm, respectively; P = 0.215). Nonaspirated and aspirated embryos gave pregnancy rates of 10/22 (45%) and 21/28 (75%) respectively (P = 0.061). Sub‐dividing embryos on the basis of size showed that vitrification of larger embryos (>550 μm) yielded a significantly higher pregnancy rate when they were aspirated vs. not‐aspirated (13/18 [72%] vs. 1/10 [10%], respectively; P = 0.006), whereas there was no difference for smaller embryos (8/10 [80%] vs. 9/12 [75%], respectively; P = 0.8). Main limitations Group sizes are limited. Conclusion Aspiration of blastocoele fluid from embryos ≤550 μm is not a pre‐requisite for successful vitrification. The Summary is available in Spanish – see Supporting Information

Patients with OGIB despite a negative capsule endoscopy have a significant re-bleeding risk; therefore, these patients require an extended follow-up strategy.

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