Australian Government - Department of Health and Ageing

Medical Services Advisory Committee (MSAC)

Application 1119

Capsule Endoscopy for Peutz - Jeghers Syndrome

Application No.

1119

Application NameCapsule Endoscopy for Peutz - Jeghers Syndrome
Date Received by MSAC Secretariat30 April 2007
Stage 1 - EligibilityEligible
Stage 2 - AssessmentCompleted
Stage 3 - Formulation of Advice to the MinisterThis assessment was considered by the MSAC at the 7 March 2008 meeting.

MSAC has considered the safety of capsule endoscopy for the small bowel surveillance of Peutz-Jeghers syndrome (PJS) and has determined that it is a safe, well-tolerated procedure compared with small bowel surveillance by barium follow-through radiography.

The small body of literature published on the clinical effectiveness of capsule endoscopy in small bowel surveillance of PJS limits the scope of analysis that can be performed to assess this technology. However, MSAC finds that this procedure is changing patient management in situations where radiographic examinations have been demonstrated to produce false negative results. MSAC finds that capsule endoscopy for small bowel surveillance of PJS is likely to be as effective and as cost-effective as small intestine x-ray.

MSAC recommends that public funding be supported for performing capsule endoscopy, no more than once in any two year period, for small bowel surveillance in patients diagnosed with Peutz-Jeghers syndrome.
Stage 4 - DecisionAccepted by the Minister for Health and Ageing on 21 May 2008.
Stage 5 - ImplementationImplemented

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