Capsule Endoscopy Is Not As Accurate As EGD

Esophagogastroduodenoscopy (EGD) is the standard technique for screening cirrhotic patients for high-risk varices and other significant upper GI lesions (HRVLs). Esophageal capsule endoscopy (ECE) is not as accurate as EGD in the diagnosis of esophageal varices and red markings or in grading esophageal varices, stated researchers in a study in Clinical Gastroenterology and Hepatology. Moreover, ECE had poor accuracy in grading portal hypertensive gastropathy and detecting ulcers, gastric varices and other significant upper GI lesions. It took significantly longer to perform ECE and interpret the results than for EGD. These findings do not support ECE as a preferred tool for screening esophageal varices and HRVLs.

Clinical Gastroenterology and Hepatology 2012: 10(3): 254-258.e1