| Capsule Endoscopy Report |
| Reason for Referral | |||||
| Duodenal lymphoma and adenoma for resection soon. Any distal lesions? Surgery to be performed soon by Dr I Baxter. | |||||
| Summary | |||||
| Known duodenal lesions seen. Isolated patch of jejunal mucosal thickening and more diffuse ileal mucosal thickening suggestive of involvement by lymphoma. He may need some further imaging with Gallium or PET to clarify this pre-op. | |||||
| Test Findings | |||||
| Capsule into duodenum at 3 mins. Capsule did not reach caecum in 7.45 hours of image capture. Retained capsule can be excluded on pre-op erect AXRay. | |||||
| Build | Normal | ||||
| Gastric Passage Time | 1 mins | ||||
| Spot Image 1 | |||||
| Passage Time | 4 mins 2 secs | ||||
| mucosal infiltration D1/D2 junction (see location indicator image) | |||||
 | |||||
| Localization | |||||
 | |||||
| Spot Image 2 | |||||
| Passage Time | 4 mins 14 secs | ||||
| blunted villi with mucosal fissuring | |||||
 | |||||
| Localization | |||||
 | |||||
| Spot Image 3 | |||||
| Passage Time | 4 mins 57 secs | ||||
| D2 mucosal thickening | |||||
 | |||||
| Localization | |||||
 | |||||
| Spot Image 4 | |||||
| Passage Time | 5 mins | ||||
| mucosal thickening proximal D2 | |||||
 | |||||
| Localization | |||||
| |||||
| Spot Image 5 | |||||
| Passage Time | 8 mins 21 secs | ||||
| infiltration of mucosa | |||||
 | |||||
| Localization | |||||
 | |||||
| Spot Image 6 | |||||
| Passage Time | 9 mins 38 secs | ||||
| D3 lesion | |||||
 | |||||
| Localization | |||||
 | |||||
| Spot Image 7 | |||||
| Passage Time | 9 mins 38 secs | ||||
| D3 lesion | |||||
 | |||||
| Localization | |||||
| |||||
| Spot Image 8 | |||||
| Passage Time | 4 hrs 4 mins 46 secs | ||||
| mucosa slides over this ?mass suggesting something extrinsic to this segment. | |||||
 | |||||
| Localization | |||||
 | |||||
| Spot Image 9 | |||||
| Passage Time | 6 hrs 23 mins 10 secs | ||||
| abnormal mucosa | |||||
 | |||||
| Localization | |||||
 | |||||
| Spot Image 10 | |||||
| Passage Time | 6 hrs 50 mins 36 secs | ||||
| abnormal ileal mucosal thickening | |||||
 | |||||
| Localization | |||||
 | |||||