How would you manage an asymptomatic patient after VCE showing small bowel Crohn's who passes the patency capsule but has retained the video capsule in the distal ileum with minimal surrounding inflammation?

A capsule can take up to 10 days to pass in a normal situation. If you have radiographic evidence of a retained capsule and the patient is on prednisone, it might take another 2 weeks or so to get the inflammation down. Remember that the capsule should continue to get crushed and really should pass ...

If asymptomatic, the patient can be watched for long-term without the need for surgery. There have been cases of capsule retention for even up to a year, and I have had clinical experience of a patient with capsule retention for many years. IF the decision made is to wait and watch, then I would rec...