Is capsule endoscopy more effective than esophagogastroduodenoscopy (EGD) in diagnosing varices patients with liver cirrhosis?
No. Esophageal capsule endoscopy (ECE) has lower sensitivity and specificity than EGD for detection of medium and large esophageal varices and is not recommended as the initial screening method for patients with liver cirrhosis (SOR: A, meta-analysis of cross-sectional cohort studies). Nevertheless, ECE may be cost effective in certain healthcare delivery models compared with EGD (SOR: B, Markov cost models).
Evidence-Based Practice 19, no. 4 (2016): 11-12