Colon capsule endoscopy, an effective option for colorectal cancer screening: BMJ
USA: Colon capsule endoscopy (CCE) can be considered as a relevant option for the screening of colorectal cancer (CRC), finds a recent study in the BMJ journal Gut.
According to the study CCE was superior to computed tomographic colonography (CTC) for polyps ≥6 mm detection and non-inferior for polyps ≥10 mm detection. This implies that CCE is comparable or superior to CTC for colorectal neoplasia screening. However, none of the two tests is as effective as optical colonoscopy (OC).
CCE has shown promise for the detection of colorectal neoplasia compared with optical colonoscopy. Brooks D Cash, University of Texas Health Science Center at Houston, Houston, Texas, USA, and colleagues aimed to compare CCE with other screening tests in average risk screening patients.
The study included patients 50 to 75 years of age (African Americans, 45–75 years). They were randomized to CCE or CT colonography (CTC) and subsequent blinded OC. From 320 enrolled subjects, data from 286 (89.4%) were evaluable.
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