Open AccessVideo capsule endoscopy and CT enterography in diagnosing adult hypertrophic pyloric stenosis
Author(s) -
Grigoriy E. Gurvits
Publication year - 2013
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v19.i37.6292
Subject(s) - medicine , gastroparesis , gastric outlet obstruction , stenosis , capsule , endoscope , pylorus , radiology , capsule endoscopy , pyloric stenosis , nausea , endoscopy , stomach , surgery , gastric emptying , botany , biology
Primary adult hypertrophic pyloric stenosis is a rare but important cause of gastric outlet obstruction that may be misdiagnosed as idiopathic gastroparesis. Clinically, patients present with early satiety, abdominal fullness, nausea, epigastric discomfort and eructation. Permanent gastric retention of a video capsule endoscope is diagnostic in differentiating between the two diseases, in the absence of an organic gastric outlet obstruction. This case presents the longest video capsule retention in the medical literature to date. It is also the first case report of adult hypertrophic pyloric stenosis diagnosed with video capsule endoscopy or a computed tomography scan. Finally, an unusual "plugging" of the gastric outlet with free floating capsule has an augmented effect on disease physiology and on patient's symptoms.