We present an analytical description of the rheology and shape of axis
ymmetric vesicles flowing down narrow capillaries. The vesicle surface
is described by the Helfrich bending energy. We find that the rheolog
ical properties of the vesicle are independent of the Helfrich bending
energy. The classical Bretherton theory for tense drops can be applie
d provided we replace the drop tension with a ''dynamical tension'' di
scussed in the text. Darcy's Law is obeyed with an effective permeabil
ity which depends on the filling fraction and the dimensions of the ve
sicle and the pore. For vesicles with tension, there are two rheologic
al regimes. At low applied pressure heads, the vesicle moves very slow
ly and violates Darcy's Law. With increasing-pressure gradient, there
is a singular point beyond which the rear of the vesicle becomes tensi
onless and Darcy's Law is obeyed. This singular point marks a whole se
quence of shapes transitions of the vesicle, starting from a spherocyl
inder and ending in a Bell shape, similar to those reported for red bl
ood cells in the physiological literature.