P.07.2 Small Bowel Capsule Endoscopy (Sbce) Complications: Frequency, Management and Policy to Prevent Them. Prospective Data Froma Regional Registry (Registro Lombardo Delle Complicanze)

Handbook of Capsule Endoscopy

“…With a thorough knowledge of the patient's medical and surgical background, the assessing clinician should identify any co-morbidities, drug history and special considerations that may present or increase risk. Whilst negative studies suggest that the capsule will most likely pass without incident [391], significant stenoses can be missed [286,369,374,[392][393][394][395]. This should include information regarding the procedure, the intended benefits, as well as the nature and level of risk associated with the procedure.…”

Small Bowel Capsule Endoscopy

“…Conventional radiological imaging methods such as barium contrast radiography and CT or magnetic resonance enterography (using oral contrast) may be used. Whilst negative studies suggest that the capsule will most likely pass without incident [391], significant stenoses can be missed [286,369,374,[392][393][394][395]. Enteroclysis techniques using nasojejunal intubation to distend the small bowel have been shown to more accurately detect intestinal strictures in patients with Crohn's disease [396]; however, they may miss diaphragmatic webs associated with NSAID enteropathy [373].…”