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Contributors: Anna Sabih and Edward Auyang
This video depicts a laparoscopic-assisted approach for the retrieval of an endoscopic capsule retained within the small bowel.
DOI: http://dx.doi.org/10.17797/prub9rczs1
Editor Recruited By: Jeffrey B. Matthews, MD
An exploratory laparoscopy was performed in order to locate the retained endoscopic capsule. When this was achieved, an open small bowel resection through a limited midline abdominal incision was performed.
The patient was a 51 year-old woman who had a history of NSAID-related small bowel stricture and a prior open small bowel resection. Four years after her surgery, the patient developed abdominal pain and underwent a capsule endoscopy procedure, however the capsule was unable to successfully traverse the GI tract, and instead became stuck at the site of her prior small bowel anastomosis.
None present.
N/A
Supine position.
1. H&P
2. Labwork
3. Fluoroscopy with small bowel follow through
Laparoscopic port placement consisted of three 5mm ports: a camera port in the left middle quadrant, and working ports in the left upper and lower quadrants.
No postoperative complications occurred.
No postoperative complications occurred.
NSAIDs: Adverse effects on the distal small bowel and colon. www.uptodate.com
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