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It should not be forgotten that the future of endoscopy relies on the current practice of eligible doctors who have the knowledge and skills in endoscopy rather than who performs endoscopies.
A subgroup analysis of 4 trials from the Cochrane review (1 from primary care) demonstrated a significant reduction of the number of endoscopies among patients receiving "test and treat" care vs those receiving early endoscopy (RR=0.
Lewis said, adding that in the hundreds of capsule endoscopies he has performed he has yet to encounter a patient who had difficulty swallowing the device.

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