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Capsule Sponge Test Could Replace Endoscopies for Over Half of Barrett’s Oesophagus Patients

The sponge test stratifies Barrett’s oesophagus patients by cancer risk in order to cut the need for invasive endoscopies

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Overview

  • The Lancet study enrolled 910 patients across 13 UK hospitals and demonstrates that the capsule sponge test can effectively collect oesophageal cells without endoscopy.
  • Researchers found that 54% of participants were classified as low risk and could safely forgo routine endoscopies while 15% were identified as high risk for cancer progression.
  • The minimally invasive procedure requires patients to swallow a capsule attached to a string that releases a sponge to sample cells before being retrieved.
  • The test is already in use at several NHS hospitals and can be administered by nurses in GP clinics, which could expand access and ease pressure on specialist services.
  • Early detection is critical given that fewer than one in five oesophageal cancer patients survive more than five years after diagnosis.