D. Wiedbrauck, S. Hollerbach and F. Wiedbrauck, AKH Celle, Germany reported on their experience with HemoPill acute to clarify an acute bleeding situation in a patient who had undergone EGD, colonoscopy and CT-angiography, which did not reveal the source of bleeding.
The cause of anaemia (hemoglobin 9.9 g/dL) and episodes of severe haematochezia were investigated in a 52-year-old male patient but could not be determined with the above procedures. Afterwards, the patient was stable and had eaten.
A few hours after the procedure, his hemoglobin level dropped severely to 6.4 g/dL and due to the food intake, a Video Capsule Enodoscopy (VCE) could no longer be performed. Thus, they decided to use the HemoPill acute which detected blood after 6 h 58 min. Over time, it could be assumed that the bleeding would have to be in the ileum/terminal ileum. Afterwards, a VCE exposed a bleeding Meckel’s diverticulum, and the patient underwent a segmental ileal partition.
The authors concluded that the HemoPill acute might serve as add-on pre-diagnostic tool to detect and localize bleedings in the upper and middle GI tract in non-fasting patients.
Wiedbrauck D, Hollerbach S, Wiedbrauck F. (2021). Detection of mid-gastrointestinal bleeding caused by Meckel’s diverticulum using a novel telemetric sensor capsule in a non-fasting patient. Digestive Endoscopy (published online) https://doi.org/10.1111/den.14005