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Transnasal esophagoscopy: revisited (over 700 consecutive cases)
Gregory N Postma1, Jacob T Cohen, Peter C Belafsky
1Department of Otolaryngology Head and Neck Surgery, Center for Voice and Swallowing Disorders of Wake Forest University, Winston-Salem, North Carolina 27157-1034, USA. postman@wfubmc.edu
The Laryngoscope
|February 4, 2005
Summary
High-resolution transnasal esophagoscopy (TNE) is a safe and effective in-office procedure for examining the esophagus. TNE findings in reflux, globus, and dysphagia patients are similar to previous reports.
Area of Science:
- Otolaryngology
- Gastroenterology
- Medical Devices
Background:
- High-resolution transnasal esophagoscopy (TNE) enables comprehensive, unsedated esophageal examination in an office setting.
- TNE offers a valuable tool for diagnosing various esophageal conditions.
Purpose of the Study:
- To compare current TNE experiences with previously published data.
- To evaluate the safety, tolerability, and learning curve of TNE.
Main Methods:
- A retrospective review was conducted on 611 consecutive patients undergoing TNE.
- This data was compared with a prior cohort of 100 patients.
Main Results:
- The most common indications included screening for reflux, globus, dysphagia (n=490), and biopsies (n=42).
- Significant findings were identified in 50% of patients, with esophagitis (n=98) and hiatal hernia (n=47) being most frequent.
- Results were comparable to initial TNE experiences.
Conclusions:
- TNE is a safe, well-tolerated, and easily learned procedure.
- TNE may serve as an alternative to radiographic imaging for otolaryngology patients with reflux, globus, and dysphagia.