Capsule endoscopy is likely to be a useful adjunct to conventional endoscopy in the surveillance of patients with familial adenomatous polyposis (FAP), Melbourne gastroenterologists have claimed.
They investigated 20 consecutive patients presenting for routine surveillance who initially had an MRI of the abdomen and a barium small bowel follow-though study. Capsule endoscopy was performed four weeks later, and an upper GI side-viewing endoscopy one or two weeks after that.
Conventional endoscopy was the best technique for identifying polyps in the stomach. Capsule endoscopy was of less value in the stomach because of rapid transit times and difficulty defining the site of the lesions, but it was superior to MRI and small bowel follow-though in regions beyond the reach of endoscopy....
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