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Asymptomatic bronchial aspiration of a video capsule

Service de Pneumologie, Hôpital Pontchaillou, Centre Hospitalier et Universitaire de Rennes, 2 rue Henri Le Guilloux, 35000 Rennes, France

*Corresponding author. Service de Pneumologie, Hopital Pontchaillou, 35033 Rennes, France. Tel.: +33 299282478; fax: +33 299282480.

E-mail address: herve.lena{at}chu-rennes.fr (H. Lena).

Aspiration is a rare complication of video-capsule endoscopy. We report a case of asymptomatic aspiration of the capsule in a 90-year-old man. The diagnosis was obtained by the images taken by the capsule. Rigid bronchoscopy was used to remove the capsule. Recommendations to prevent this complication are: (1) Patients with swallowing disorders should have the capsule placed into the duodenum at the time of upper endoscopy. The capsule should never be placed in the stomach because of prolonged emptying times following endoscopy and IV sedation. (2) If a patient appears to have difficulty swallowing the capsule after two or three attempts, the capsule should be placed endoscopically. (3) When real-time capsule location is more readily available, the abdomen can be scanned after the initial ingestion to be sure that the capsule reached the stomach.

Key Words: Video capsule; Aspiration; Bronchoscopy