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Gastric Perforation Following Endoscopic Removal of a Bravo PH Capsule in a Cat

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Date 2015 Mar 15
PMID 25769622
Citations 2
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Abstract

A 7-year-old domestic shorthair cat was evaluated for hyporexia and weight loss following endoscopic placement of an intragastric pH monitoring device. Physical examination of the cat was unremarkable, and its blood work was notable for a mild hypoalbuminemia. The cat's acute hyporexia and weight loss was attributed to discomfort associated with the intragastric pH monitoring device, as has been reported in humans. Endoscopic removal of the intragastric pH monitoring device resulted in gastric perforation. The cat underwent exploratory laparotomy for surgical resection and repair of the perforated area. To our knowledge, this is the first report of gastric perforation secondary to removal of a Bravo pH capsule. Caution may be advised when considering intragastric pH capsule removal in cats.

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References
1.
Kandulski A, Peitz U, Monkemuller K, Neumann H, Weigt J, Malfertheiner P . GERD assessment including pH metry predicts a high response rate to PPI standard therapy. BMC Gastroenterol. 2013; 13:12. PMC: 3562521. DOI: 10.1186/1471-230X-13-12. View

2.
Fischer A, Baier P, Utzolino S, Hopt U, Schrag H . Management of severe chest pain caused by a Bravo pH monitoring capsule. Endoscopy. 2008; 40 Suppl 2:E55-6. DOI: 10.1055/s-2007-967058. View

3.
de Hoyos A, Esparza E . Technical problems produced by the Bravo pH test in nonerosive reflux disease patients. World J Gastroenterol. 2010; 16(25):3183-6. PMC: 2896756. DOI: 10.3748/wjg.v16.i25.3183. View

4.
Fleischer A, Muhletaler C, JAMES Jr A . Sonographic assessment of the bowel wall. AJR Am J Roentgenol. 1981; 136(5):887-91. DOI: 10.2214/ajr.136.5.887. View

5.
Pandolfino J, Schreiner M, Lee T, Zhang Q, Kahrilas P . Bravo capsule placement in the gastric cardia: a novel method for analysis of proximal stomach acid environment. Am J Gastroenterol. 2005; 100(8):1721-7. DOI: 10.1111/j.1572-0241.2005.41733.x. View