This issue of VHJOE presents an article and a commentary regarding the potential for gastrointestinal complications associated with chronic use of non steroidal anti-inflammatory drugs (NSAIDs). The case report, by McNally, et. al., demonstrates the utility of a combined operative endoscopic and surgical management of NSAID induced small intestinal stricture. In the “Capsule Endoscopy” section of the journal, Dr. Radwin, reviews the video capsule endoscopy findings with NSAID enteropathy and discusses the management issues related to capsule retention. These articles should help the reader in their approach to both NSAID complications as well as a more general approach to capsule endoscopy. For the readers enjoyment, I have included a video of Visible Human anatomy which corresponds to a capsule endoscopy exam of the upper intestine.

As can be gathered from the article and commentary, capsule endoscopy is a valuable tool in assessing small bowel injuries, although it is not a risk free procedure. Capsule retention can occur and can lead to surgery. Patency capsules are a relatively new method to lessen the risk, and it is important for capsule endoscopists to be familiar with the use of these items.