Removal of Capsule Endoscope

Because of retention of a capsule endoscope in a stenotic region of the small intestine, the double-balloon endoscope was inserted through the mouth, which allowed direct identification of the capsule endoscope rostral to the stenotic region (Fig. 12.3.2). Through the forceps channel of the endoscope, a Roth Net modified to have a longer sheath length (net size 25 mm) (US Endoscopy Group, Mentor, OH, USA) was used to hold the capsule endoscope to remove it from the body (Fig. 12.3.3) (kindly provided by Dr. Shu Tanaka, Third Department of Internal Medicine, Nippon Medical School, Japan). When the treatment-type double-balloon endoscope EN-450T5 is used, a Roth Net compatible with a 3.2-mm channel with a net size of 40 mm can be modified to have a thin profile to be applicable.

Fig. 12.3.2. Capsule endoscope retained rostral to Fig.12.3.3. Capsule retrieved with a modified Roth the stenotic site Net with a longer sheath length
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