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Capsule endoscopy for the foregut- a pill worth swallowing

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Capsule endoscopy for the foregut- a pill worth swallowing

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    1. Capsule endoscopy for the foregut- a pill worth swallowing? Glenn Eisen, MD, MPH Professor of Medicine Director of Endoscopy Oregon Health & Science University Portland, Oregon

    2. Relevant disclosures Consultant- Given, Mirocam Speaker-Given

    3. Fantastic Voyage (1966)

    4. Is new technology destined to disrupt current methods? Two views: Yes, the ultimate manifestation of this technology is inherently superior to what is currently being used: Example: capsule vs conventional endoscopy Ok, maybe ultimately but first it needs to be developed to a level where it provides: Performance Cost-effectiveness Improve patient related outcomes Acceptability Safety

    5. Capsule Palooza Pillcam SB Endocapsule Pillcam ESO Pillcam Colon SMART Pill Capsule on a string Tethered capsule Versions 2.0, 3.0 et al….

    6. What they can do… First line noninvasive imaging for OGIB Integral piece of algorithm for small bowel assessment (with ct enterography, balloon enteroscopy) Role in Crohn’s; ? Celiac diagnosis Alternative to endoscopy for esophageal varices screening Assess GI motility

    7. What capsules might be able to do.. Screen for Barrett’s esophagus Screen for colorectal cancer First line motility assessment tool Take biopsies/ perform treatment Deliver drug therapy

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