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Transnasal esophagoscopy.
P C Belafsky1, G N Postma, E Daniel
1Department of Otolaryngology, Center for Voice Disorders of Wake Forest University, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1034, USA.
Summary
Transnasal esophagoscopy (TNE) offers a safe, sedation-free method for in-office esophageal examination. This study found TNE effective in diagnosing conditions like esophagitis and Barrett's, potentially replacing traditional imaging for certain patients.
Area of Science:
- Otolaryngology
- Gastroenterology
- Diagnostic Endoscopy
Background:
- Transnasal esophagoscopy (TNE) is an emerging diagnostic tool enabling comprehensive esophageal evaluation without sedation.
- This technique facilitates in-office procedures, improving patient accessibility and comfort.
Purpose of the Study:
- To document the clinical experience and outcomes of 100 consecutive patients undergoing TNE.
- To assess the safety, tolerability, and diagnostic yield of TNE in an otolaryngology setting.
Main Methods:
- A retrospective review was conducted on 100 patients who underwent TNE.
- Indications, findings, and procedure success rates were analyzed.
Main Results:
- The primary indications included screening for reflux, globus, dysphagia (79 patients), and biopsies (8 patients).
- Significant findings were identified in 44% of patients, with esophagitis, Barrett's esophagus, and carcinoma being most common.
- Four procedures were aborted due to nasal passage limitations.
Conclusions:
- Transnasal esophagoscopy (TNE) is a safe and well-tolerated procedure when using only topical anesthesia.
- TNE may serve as a valuable alternative to radiographic imaging for evaluating reflux, globus, and dysphagia in otolaryngology patients.