Institute for Digestive Research, Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea.
Gut Liver. 2010 Mar;4(1):114-6. doi: 10.5009/gnl.2010.4.1.114. Epub 2010 Mar 26.
Aspiration is a very rare complication of capsule endoscopy, but it is potentially life-threatening and should be considered an emergency requiring immediate intervention since it can evolve into major airway compromise and obstructive pneumonitis. We experienced a case of asymptomatic aspiration of a capsule in a 75-year-old man. The aspirated capsule was diagnosed on routine chest and abdomen X-rays to confirm its position after ingestion. The capsule was removed via bronchoscopy using a net, without sequelae, after inducing the patient to cough. To prevent this complication, a thorough history of swallowing disorders is needed before capsule ingestion, and patients with swallowing difficulties should have the capsule placed in the duodenum endoscopically. Moreover, on capsule aspiration, cough induction is the most effective method of capsule removal.
胶囊内镜检查的罕见并发症是吸入,但是它具有潜在的生命威胁,需要立即进行紧急干预,因为它可能发展成主要气道阻塞和阻塞性肺炎。我们遇到一例无症状的 75 岁男性胶囊吸入。在摄入后,通过常规的胸部和腹部 X 射线诊断吸入的胶囊,以确认其位置。通过支气管镜使用网将胶囊取出,在诱导患者咳嗽后,没有后遗症。为了防止这种并发症,在胶囊摄入之前需要彻底了解吞咽障碍的病史,并且吞咽困难的患者应该通过内窥镜将胶囊放置在十二指肠中。此外,在胶囊吸入时,咳嗽诱发是胶囊取出最有效的方法。