RESUMEN
Capsule endoscopy is a new technology that is changing the diagnostic endoluminal approach to a variety of disorders and conditions. Initially introduced for the evaluation of the small bowel, endoscopic imaging now can visualize the esophagus and the colon. Any assessment of a new technology should focus on its feasibility, patient tolerance and acceptance, safety, and value in terms of diagnostic or therapeutic use. Since the introduction of capsule endoscopy in 2000, considerable data have become available regarding these issues. This article will review the clinical applications and issues concerning capsule endoscopy utilization.
Asunto(s)
Endoscopía Capsular/tendencias , Enfermedades Gastrointestinales/diagnóstico , Endoscopía Capsular/efectos adversos , HumanosRESUMEN
OBJECTIVE: The objective of this study was to determine whether patients found to have adenomatous polyps or cancer were notified that their relatives should have screening, due to an increased risk of developing colorectal cancer. METHODS: Consecutive (n = 121) colonoscopy patients from December of 1999 to October of 2001 found to have adenomatous colon polyps or colon cancer formed the study group. Charts were reviewed for documentation of relative notification, and when documentation was not present, study subjects were contacted by telephone. RESULTS: Overall, 71% had data that were able to be evaluated; the remaining 29% were unable to be contacted because of changes of address or phone numbers. Adenomatous polyps were seen in 95%, and cancer seen in 5%. Overall, 30% of the patients were notified: 23 of 82 (28%) in the polyp group and 3 of 4 (75%) in the cancer group. Advanced adenomas or multiple adenomas were noted in 28 of the 82 (34%). Of those, 8 of 28 (29%) were notified. CONCLUSIONS: Gastroenterologists should be aware of the need for increased attention to family notification, especially in those with advanced adenomas or multiple adenomas. Template notification letters may complement the polyp surveillance programs that many colonoscopists use.