{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T00:15:20Z","timestamp":1777076120093,"version":"3.51.4"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T00:00:00Z","timestamp":1691971200000},"content-version":"vor","delay-in-days":44,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia Reports"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Summary<\/jats:title><jats:p>Capsule endoscopy is a safe, minimally invasive procedure used to investigate gastrointestinal bleeding of unknown origin that persists or recurs after a negative initial endoscopy. The most common adverse effects of capsule endoscopy include abdominal pain, nausea and vomiting. Capsule pulmonary aspiration, although a rare complication, has been reported in the literature. Most reported cases resolve without further medical intervention. In these cases, the capsule is either expelled by coughing, or it re\u2010enters the oropharynx and is then swallowed. In a small number of cases, the capsule remains in the lung, unable to be expectorated. This requires prompt diagnosis and emergency bronchoscopic removal under general anaesthesia. Due to the smooth, rounded surfaces of the capsule, it may be difficult to grasp, and consequently extraction may be technically challenging. The existing literature contains limited documentation on anaesthetic and surgical approaches for managing an aspirated endoscopy capsule. In this case report, we present the management of an aspirated endoscopy capsule in a district general hospital, in which thoracic surgery was not available. Local resources were used to manage this potentially life\u2010threatening complication without patient transfer. In our case, we provided a tubeless field to optimise surgical access. This facilitated the successful surgical extraction of the endoscopy capsule from the left main bronchus.<\/jats:p>","DOI":"10.1002\/anr3.12242","type":"journal-article","created":{"date-parts":[[2023,8,14]],"date-time":"2023-08-14T23:22:21Z","timestamp":1692055341000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Tubeless field anaesthesia for surgical removal of an aspirated endoscopy capsule"],"prefix":"10.1002","volume":"11","author":[{"given":"G. S.","family":"Grounds","sequence":"first","affiliation":[{"name":"Department of Anaesthesia Kent and Canterbury Hospital  Canterbury Kent UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Dent","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Kent and Canterbury Hospital  Canterbury Kent UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Nunes","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology Kent and Canterbury Hospital  Canterbury Kent UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Dhar","sequence":"additional","affiliation":[{"name":"Department of Ear, Nose and Throat Surgery William Harvey Hospital  Ashford Kent UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,14]]},"reference":[{"key":"e_1_2_5_2_1","first-page":"1","article-title":"Wireless capsule endoscopy for investigation of the small bowel","volume":"101","author":"National Institute for Health and Care Excellence (NICE)","year":"2004","journal-title":"NICE Interventional Procedures Guidance"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v22.i1.369"},{"key":"e_1_2_5_4_1","unstructured":"CaveD.Wireless video capsule endoscopy. Topic 2662. UpToDate.2022.https:\/\/www.uptodate.com\/contents\/wireless\u2010video\u2010capsule\u2010endoscopy(accessed 14\/05\/2023)."},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/den.13346"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.giec.2006.11.001"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v19.i24.3726"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/MEG.0000000000000821"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2017.06.137"},{"key":"e_1_2_5_10_1","unstructured":"National Library of medicine.PubMed. Search Results.2022.https:\/\/pubmed.ncbi.nlm.nih.gov\/?term=Capsule+Endoscopy+Aspiration&filter=pubt.casereports&filter=years.2008\u20102023(accessed 30\/12\/2022)."},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/LBR.0b013e31826e3b53"},{"key":"e_1_2_5_12_1","first-page":"878","article-title":"Real time visualisation may be advisable to exclude aspiration in patients undergoing capsule endoscopy examination","volume":"109","author":"Ribaldone DG","year":"2017","journal-title":"Revista Espanola de Enfermedades Digestivas"}],"container-title":["Anaesthesia Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/anr3.12242","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T11:41:09Z","timestamp":1759923669000},"score":1,"resource":{"primary":{"URL":"https:\/\/associationofanaesthetists-publications.onlinelibrary.wiley.com\/doi\/10.1002\/anr3.12242"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,7]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023,7]]}},"alternative-id":["10.1002\/anr3.12242"],"URL":"https:\/\/doi.org\/10.1002\/anr3.12242","archive":["Portico"],"relation":{},"ISSN":["2637-3726","2637-3726"],"issn-type":[{"value":"2637-3726","type":"print"},{"value":"2637-3726","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,7]]},"assertion":[{"value":"2023-07-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-14","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e12242"}}