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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.

Otolaryngology--Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
|December 18, 2001
PubMed
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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).

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  • 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.