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Vol. 83. Num. 4.October - December 2018
Pages 365-474
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297
Vol. 83. Num. 4.October - December 2018
Pages 365-474
Clinical image in Gastroenterology
DOI: 10.1016/j.rgmxen.2018.04.003
Open Access
10-hour asymptomatic endoscopic capsule broncoaspiration
Broncoaspiración asintomática de cápsula endoscópica por 10 horas
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297
D. Keil-Ríos
Corresponding author
danielkeil@gmail.com

Corresponding author. Sur 136 no. 116 consultorio 2A, Colonia Las Américas, Mexico City, C.P. 01120. Phone/Fax: +52724919.
, D. Angulo-Molina, A. Farca-Belsaguy
Unidad Avanzada de Endoscopia, Centro Médico ABC, Campus Observatorio, Mexico City, Mexico
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An 84-year-old man sought medical attention due to fever and ileal wall thickening, for which capsule endoscopy was performed. Capsule administration and exam were uneventful. The patient stated he had no discomfort but did not expel the capsule through a bowel movement (figs. 1 a and b). Hours later, he began to cough and 10hours after the procedure he spontaneously expectorated the video capsule (figs. 1c and d). The images were reviewed, confirming the aspiration of the capsule when it was administered. A new video capsule was endoscopically placed in the duodenum, with no further complications.

Figure 1.
(0.39MB).

Secondary bronchi at the time of capsule administration (a and b). Bronchus during expectoration of the capsule (c). Hypopharynx during capsule expectoration (d).

Capsule endoscopy aspiration is a rare complication. The largest case series conducted on the topic reports a frequency of 0.003%, occurring mainly in elderly, fragile patients with swallowing disorders. In general, respiratory symptoms present immediately. There are few reports of cases of asymptomatic aspiration of the capsule endoscopy camera and only one report in which the duration was longer than the 10h in our case.

Ethical disclosuresProtection of human and animal subjects.

The authors declare that the procedures followed were in accordance with the regulations of the relevant clinical research ethics committee and with those of the Code of Ethics of the World Medical Association (Declaration of Helsinki).

Confidentiality of data.

The authors declare that no patient data appear in this article.

Right to privacy and informed consent.

The authors declare that no patient data appear in this article.

Financial disclosure

No financial support was received in relation to this article.

Conflict of interest

The authors declare that there is no conflict of interest.

Please cite this article as: Keil-Ríos D, Angulo-Molina D, Farca-Belsaguy A. Broncoaspiración asintomática de cápsula endoscópica por 10 horas. Revista de Gastroenterología de México. 2018;83:451–452.

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