Reddy Ruha, Holliday Brian A, Greenberg Marna, Barr Gavin C
Department of Emergency and Hospital Medicine, Lehigh Valley Health Network/University of South Florida Morsani College of Medicine, Bethlehem, USA.
Cureus. 2023 Aug 23;15(8):e43995. doi: 10.7759/cureus.43995. eCollection 2023 Aug.
A Bravo device is a continuous pH monitor, produced by Medtronic (Minneapolis, MN), that is placed on the esophageal mucosa during endoscopy and can be used in the evaluation of gastroesophageal reflux disease (GERD). The device detaches by itself and passes with feces in approximately 7-10 days. Because of its brief presence in the body, the device is an unusual finding on imaging and could easily be mistaken for a more ominous foreign body. The Bravo device is typically well tolerated but can be a source of severe discomfort. Its presence is an important consideration in the differential of chest pain and a contraindication to MRI. Here, we discuss a case of a patient presenting to the emergency department (ED) with acute chest pain who underwent Bravo device placement several days prior.
Bravo装置是美敦力公司（明尼阿波利斯，明尼苏达州）生产的一种连续pH监测仪，在内镜检查时放置于食管黏膜上，可用于评估胃食管反流病（GERD）。该装置会自行脱落，并在大约7 - 10天内随粪便排出。由于其在体内停留时间较短，该装置在影像学检查中是一种不常见的发现，很容易被误认为是更不祥的异物。Bravo装置通常耐受性良好，但也可能是严重不适的来源。其存在是胸痛鉴别诊断中的一个重要考虑因素，也是MRI检查的禁忌证。在此，我们讨论一例几天前接受了Bravo装置放置术的患者因急性胸痛就诊于急诊科（ED）的病例。
