2011 Volume 53 Issue 4 Pages 1272-1277
A 36-years old man was referred to our hospital with obscure gastrointestinal bleeding (OGIB). Capsule endoscopy (CE) was performed to investigate the existence of small bowel disease, and the capsule became entrapped at a stenosis in the ileum due to Crohn's disease which was diagnosed thereafter. It was difficult to retrieve the retained capsule by the conventional method of anterograde or retrograde double-balloon enteroscopy (DBE). We re-performed anterograde DBE combined with a nasogastric long tube that was inserted three days before the DBE procedure. By using the nasogastric long tube, shortening the small bowel and reducing an intraluminal pressure of the bowel helped DBE procedure and retained capsule was successfully retrieved. Our method, the “triple-balloon method”, using anterograde DBE combined with nasogastric long tube, is expected to improve the retrieval-rates of capsule retention.
