1146 Laparoscopic Retrieval of a Retained Video Endoscopy Capsule: Case Report and Review of Literature

Abstract Video-Capsule-Endoscopy (VCE) is a non-invasive method and useful tool in determining the aetiology of obscure gastrointestinal bleeding diagnosis Crohn’s disease. Despite its proven utility, VCE carries risks, primarily capsule retention (CR). This refers to failure passing by day 14. CR may suggest underlying pathology, but process can lead several sequelae including obstruction. We report case 28-year-old patient with suspected disease requiring laparoscopic bowel-resection retrieval capsule. The presented 2019 bloating, crampy abdominal pain altered bowel habits. Initial endoscopic blood investigations were unremarkable, however subsequent tests revealed raised calprotectin anaemia. OGD colonoscopy remained negative. In April 2021, he underwent VCE, demonstrating an inflamed distal ileum structuring. However, failed pass. After period watchful waiting multidisciplinary discussion resulting trial infliximab steroid therapy, in-situ as confirmed sequential X-rays CTs. March 2022, uncomplicated 3-port small resection retained was discharged 2 days later. Our demonstrates optimal approach management CR. An initial conservative medical therapy attempted. MDT ensured both gastroenterologists surgeons involved decision-making. Finally, our literature review demonstrated lack concise guidelines. Thus, based on latest evidence we developed algorithmic flow chart for VCE.