Wireless capsule endoscopy
Record ID 32004000226
To summarize the available information on the use of the M2A Wireless Capsule Endoscope (manufactued in Israel by Given Manufacturing Ltd.) to diagnose localized disorders by visualizing the inner lining of the small intestine, including regions that cannot be reached by traditional endoscopy.
The literature shows that video capsule endoscopy (VCE) offers a safe, painless, and effective method of diagnosing abnormalities in the small intestine. In comparison, current technologies can be uncomfortable, require sedation, and carry the risk of organ injury, including perforation. While VCE is not designed to replace standard endoscopic examinations, it may save patients from more intrusive diagnostic procedures and occasionally preclude exploratory surgery. It has been useful in planning subsequent therapy. Most studies have assessed diagnostic yield. Further investigations need to assess the specificity and sensitivity of the device in comparison with conventional procedures. Its clinical significance also needs to be evaluated.
The physician's time spent in image evaluation may be the most costly component. An independent economic analysis, conducted from a Canadian health care perspective, is needed; this study must account for equipment costs and the physician's time.
English language abstract:
An English language summary is available
- Costs and Cost Analysis
- Endoscopy, Digestive System
- Endoscopy, Gastrointestinal
Canadian Coordinating Office for Health Technology Assessment
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Canadian Coordinating Office for Health Technology Assessment (CCOHTA)