HemoPill® acute allowed early detection of GI malignancy in 2 cases
HemoPill® acute allowed the detection of the cause of occult bleeding in comorbid patients with anemia in the middle and lower GI tract
Key findings
- HemoPill® acute detected bleeding in the middle and lower GI tract in 2 patients with severe anemia, leading to early diagnosis of GI-malignancies
- A lesion in the jejunum was found in one case and a stenosis in the colon and a polyp in the sigmoid in the other case
- All lesions proved to be malignant and were not found in previous examinations
- Ease of use with no preparation required makes the HemoPill® acute a useful diagnostic bleeding tool for comorbid or geriatric patients
Case details
- 56-year-old female with anemia, melena and a HB concentration of 5g/dl
- EGD revealed no blood or bleeding in the upper GI tract
- Bowel preparation was not tolerated so HemoPill® acute was placed directly into the duodenum; a positive signal was received after 1 hour
- CT could not identify the lesion
- 77-year-old female with severe anemia and HB of 5g/dl, no clinical sign of bleeding
- HemoPill® acute used due to age and BMI of 37
- Positive capsule signal indicating bleeding after 5 hours
- X-ray revealed capsule near coecum
- The HemoPill® acute does not provide its exact localization, so X-ray was used after bleeding detection in both cases to determine the position of the capsule and narrow down the location of the bleeding
Cahyadi O, Ewald P, Quast D, Siau K, Uhl W, Schmidt W, Torres Reyes C. Ingestible Sensor Capsule with Extended Battery Capacity Allows Early Diagnosis of GI Malignancy in Comorbid Patients with Occult Bleeding and Anemia. Endoscopy International Open. 2024 doi: 10.1055/a-2474-9966.
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