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- Title
Video capsule endoscopy is safe and effective in suspected small bowel bleeding among left ventricular assist device recipients.
- Authors
Itskoviz, David; Ben Avraham, Ben; Banai, Hagar; Avni, Irit; Ben Gal, Tuvia; Dotan, Iris; Gal, Eyal
- Abstract
<bold>Introduction:: </bold>Suspected small bowel bleeding is frequently encountered in left ventricular assist device recipients and the identification of the culprit lesion may be challenging. Data regarding the safety and yield of small bowel capsule in the investigation of suspected small bowel bleeding are limited. We aimed to evaluate the safety and efficacy of small bowel video capsule endoscopy for the investigation of suspected small bowel bleeding among left ventricular assist device recipients.<bold>Methods:: </bold>Patients with left ventricular assist device who underwent video capsule endoscopy for the investigation of suspected small bowel bleeding were identified. Suspected small bowel bleeding was defined as the presence of overt bleeding at least 30 days following left ventricular assist device implantation with no identifiable cause in upper and lower endoscopy.<bold>Results:: </bold>A total of 10 patients with left ventricular assist device associated suspected small bowel bleeding performed 12 small bowel capsule endoscopies between January 2008 and December 2015 at our tertiary medical care facility. There were no cases of capsule retention or any other serious adverse events during the exams. A significant finding was identified in 8 out of 10 patients, including 3 cases of small bowel angioectasia, 2 cases of small bowel ulcers, 1 case of cecal polyp, and 2 cases of active bleeding with no apparent bleeding source. Small bowel enteroscopy identified and treated bleeding angioectasia in the latter two cases.<bold>Conclusion:: </bold>Small bowel capsule endoscopy is safe and effective in the investigation of left ventricular assist device associated suspected small bowel bleeding.
- Subjects
ISRAEL; GASTROINTESTINAL hemorrhage diagnosis; HEART ventricle diseases; ARTIFICIAL blood circulation; GASTROINTESTINAL hemorrhage; LEFT heart ventricle; SMALL intestine; TREATMENT effectiveness; CAPSULE endoscopy; RETROSPECTIVE studies; HEART assist devices
- Publication
International Journal of Artificial Organs, 2018, Vol 41, Issue 12, p833
- ISSN
0391-3988
- Publication type
journal article
- DOI
10.1177/0391398818790205