Clin Endosc.  2014 May;47(3):266-269. 10.5946/ce.2014.47.3.266.

Body Position Adjustment May Facilitate Capsule Endoscopic Real-Time Examination in Patients with a Large Amount of Food Retention in the Stomach

• Gou JH
• Zhang BQ

• KMID: 2049025
• DOI: http://doi.org/10.5946/ce.2014.47.3.266

Abstract

A patient with acute obscure gastrointestinal bleeding was found to have a large amount of food retention in the stomach after fasting for >12 hours. We tried to adjust the patient's body position to facilitate capsule endoscopic examination. The patient laid on the bed on his right side, which is the position required for a normal procedure, and then his hip was raised while his upper body was lowered gradually until the pylorus appeared at the center of the screen of the real-time monitor. It took 15 minutes of body position adjustment to make the pylorus appear at the center of the monitor and another 5 minutes for the capsule endoscope to enter the duodenum. The lesion was ultimately found at the terminal small intestine.

Keyword

Capsule endoscopy; Body position; Real-time monitoring

MeSH Terms

Capsule Endoscopes
Capsule Endoscopy
Duodenum
Fasting
Hemorrhage
Hip
Humans
Intestine, Small
Pylorus
Stomach*

Figure

• 

  Fig. 1 Serial images of the capsule endoscope passing from the stomach to the colon. (A, B) They show the presence of too much food in the stomach. (C) It shows the appearance of the pylorus on the monitor screen owing to the change in body position. (D) It shows the pylorus positioned at the center of the screen. (E) It shows the capsule endoscope entering the duodenum. (F) It shows the capsule endoscope entering the jejunum. (G) It shows an ulcer lesion in the terminal ileum. (H) It shows fresh blood in the cecum. (I) It shows the capsule endoscope entering the colon.

• 

  Fig. 2 Adapting a special body position to allow the pylorus to appear at the center of the screen.

• 

  Fig. 3 Gastric profiles and locations of the capsule endoscope in the pylorus. The classic stomach types on barium meal radiographic examination, type 1 to type 4; the different gastric profiles would influence the location of capsule endoscope in the pylorus when the patient assumes the right lateral position.

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