Retained Capsule Endoscope
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Case Report
A 21-month-old boy presented to us with generalized edema for last 3 months. Previously, patient was evaluated elsewhere and was treated for hypo-albuminemia with clinical improvement. On admission, child had anasarca and anemia. He weighed 10 kg and had a length of 74.5 cm (<3rd centile). His hemoglobin level was 5.1 g/dL, serum proteins were 3.7 g/dL, serum albumin was 1.5 g/dL, and serum globulins were 1.6 g/dL. Stool examination for ova, cysts and occult blood was negative. Paediatric Crohn’s Disease Activity Index was 37.5, suggesting moderate disease activity. Further investigations including echocardiogram, upper gastro-intestinal (GI) endoscopy and colonoscopy, contrast enhanced computed tomography scan (CECT) were normal. In view of clinical suspicion of protein losing enteropathy, we planned capsule endoscopy.As the child was not able to swallow the capsule, it was placed under endoscopic guidance into the third part of duodenum using endoscopic basket. Child was discharged with advice of close follow up. We used the new version CapsoCam SV1 (Capsovision, CA) of size 11 mm × 31 mm, which provides panoramic 360° images with a higher frequency of 20 frames per second for the first 2 h and thereafter 12 frames/s, with a battery life of 15 h.....

http://www.indianpediatrics.net/nov2016/nov-1017-1018.htm
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