{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:44:21Z","timestamp":1777452261178,"version":"3.51.4"},"reference-count":15,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T00:00:00Z","timestamp":1776988800000},"content-version":"vor","delay-in-days":23,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Respirology Case Reports"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Capsule endoscopy (CE) aspiration is extremely rare (0.003%\u20130.013%) but potentially life\u2010threatening. The CE is structurally challenging for standard bronchoscopic removal due to its large size, smooth surface and nonmetallic composition. While most aspirated capsules remain in the central airways, reports on peripheral impaction are limited. We report a case in which a CE was impacted deep within the right basal segmental bronchus of a man in his 70s. Conventional forceps manipulation failed because the capsule was completely impacted, preventing visibility beyond the obstruction. We successfully employed a two\u2010step strategy: (1) disimpaction using a balloon catheter guided by fluoroscopy and (2) retrieval in the central airway using a retrieval loop net. This fluoroscopy\u2010assisted two\u2010step strategy provides a safe and reliable approach for retrieving structurally challenging foreign bodies in the peripheral airways.<\/jats:p>","DOI":"10.1002\/rcr2.70600","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T12:05:03Z","timestamp":1777032303000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Two\u2010Step Strategy Utilising Fluoroscopy for Resolving Peripheral Airway Impaction by an Aspirated Capsule Endoscope: A Case Report"],"prefix":"10.1002","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-7723-1458","authenticated-orcid":false,"given":"Misa","family":"Oguma","sequence":"first","affiliation":[{"name":"Postgraduate Training Center Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7108-020X","authenticated-orcid":false,"given":"Ryo","family":"Nonomura","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazunori","family":"Ueda","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Nagata","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryuga","family":"Yabe","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaka","family":"Oshima","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takanobu","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8587-0439","authenticated-orcid":false,"given":"Naoya","family":"Ishibashi","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiromichi","family":"Niikawa","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery Tohoku Medical and Pharmaceutical University Hospital  Sendai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.21037\/atm-23-763"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12876-020-01491-w"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2024.1442245"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.09.011"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/jscr\/rjac385"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2018-224538"},{"issue":"9","key":"e_1_2_10_8_1","first-page":"605","article-title":"Asymptomatic Bronchial Aspiration of Capsule Endoscope: A Significant Complication","volume":"108","author":"Juanmarti\u00f1ena Fern\u00e1ndez J. F.","year":"2016","journal-title":"Revista Espa\u00f1ola de Enfermedades Digestivas"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000000237"},{"issue":"4","key":"e_1_2_10_10_1","article-title":"Necessity of Swallow Evaluations in the Elderly Prior to Capsule Endoscopy","volume":"14","author":"Gaisinskaya P.","year":"2022","journal-title":"Cureus"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1159\/000441382"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.14309\/crj.0000000000001425"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.4012-19"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1053\/j.gastro.2019.04.006"},{"issue":"8","key":"e_1_2_10_15_1","article-title":"Bravo Capsule Aspiration: A Rare Case Report","volume":"9","author":"Haseeb A.","year":"2017","journal-title":"Cureus"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/anr3.12242"}],"container-title":["Respirology Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70600","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/rcr2.70600","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/rcr2.70600","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:50:30Z","timestamp":1777380630000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/rcr2.70600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":15,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1002\/rcr2.70600"],"URL":"https:\/\/doi.org\/10.1002\/rcr2.70600","archive":["Portico"],"relation":{},"ISSN":["2051-3380","2051-3380"],"issn-type":[{"value":"2051-3380","type":"print"},{"value":"2051-3380","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"assertion":[{"value":"2025-11-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70600"}}