METHODS: A 33 year-old male attended our out-patient clinic with ongoing reflux symptoms and intermittent dysphagia. His response to first line therapy including lifestyle modifications and with PPIs was unsatisfactory thus a plan for an oesophageal Ph capsule study was agreed and performed. On day 4 post-procedure he reported severe dysphagia to solid foods. A Chest X-ray was performed which confirmed the presence of the capsule 7 days post-procedure. On day 12 post-procedure, gastroscopy and retrieval of the capsule was performed successfully.
UNASSIGNED: We recommend gastroenterologists use submucosal elevation in combination with manual traction in order to detach the capsule from the underlying mucosa, followed by retrieval using forceps to grab the thread-end of the capsule.
CONCLUSIONS: We hope our report raises awareness for this rare complication as well as providing education to practicing gastroenterologists on a formal manoeuvre for successful endoscopic management of a retained oesophageal pH capsule.
方法:一名33岁男性因持续的反流症状和间歇性吞咽困难而就诊于我们的门诊。他对包括生活方式改变和PPI在内的一线治疗的反应不令人满意,因此同意并执行了食道Ph胶囊研究计划。手术后第4天,他报告固体食物严重吞咽困难。在手术后7天进行胸部X射线检查,证实了胶囊的存在。在手术后的第12天,成功进行了胃镜检查和胶囊取出。
■我们建议胃肠病学家将粘膜下抬高与手动牵引结合使用,以使胶囊与下面的粘膜分离,然后使用镊子抓取胶囊的线端。
结论:我们希望我们的报告能提高人们对这种罕见并发症的认识,并对胃肠病医师进行正式操作,以成功地内镜下保留的食管pH胶囊进行治疗。