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Esophagogastroduodenoscopy (EGD) is the most widely used method to investigate esophageal diseases

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Esophagogastroduodenoscopy (EGD) is the most widely used method to investigate esophageal diseases with excellent accuracy. Till date it has been considered the gold standard for the diagnosis and surveillance of esophageal diseases including interventional procedures. It has mainly been used for diagnosing barret’s esophagus, reflux esophagitis, esophageal varices and esophageal cancers. However the EGD is expansive and uncomfortable to the patient along with a small potential risk for complications. It involves the risk of conscious sedation along with loss of productivity. It has more complication rate in cases of cirrhosis. Next step was the development of a safer and more comfortable method to view the mucosa of esophagus thus came …show more content…

First the study was done on healthy volunteers which are themselves capsule endoscopists. Subsequently study was done of patients with suspected esophageal disease to compare the feasibility, efficacy, quality and patient discomfort between the two methods. Feasibility and the quality of the test has been compares in al the four main diagnostic indications of EGD and this has been shown the table format as well as compared with the pictures.
This article is on a very commonly performed procedure EGD, all over the world which has changed its role from mainly diagnostic procedure in the early years to a therapeutic procedure. Authors have presented the feasibility data compares to EGD. More than feasibility they have emphasized that SSCE is more comfortable to the patient. It has less complication rate as compared to EGD. It has equal quality of the images of the esophagus and rather better image quality than EGD in certain diseases. Capsule endoscopy has shown moderate efficacy in lower end esophageal images because of no control over the movement of the capsule. SSCE has overcome the difficulty by attaching a string to the capsule with which up and down movement of the capsule can be controlled ad lib to improve the focus on the area of interest. It has many other advantages:
• It is a controlled method for esophagoscopy
• No sleeve or string Was broken in the study
• More comfortable to the patient

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