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Transnasal Esophagoscopy-Our Experience.
1Department of ENT, Lancaster Royal Infirmary, Lancaster, United Kingdom of Great Britain and Northern Ireland.
International Archives of Otorhinolaryngology
|January 17, 2019
Summary
Transnasal esophagoscopy (TNE) is feasible in district general hospitals, offering superior visualization of the pharynx and upper esophagus compared to EGD. This technique successfully identified issues in 43% of patients, even after a normal EGD.
Area of Science:
- Otolaryngology
- Gastroenterology
- Diagnostic Endoscopy
Background:
- Transnasal esophagoscopy (TNE) offers improved visualization above the cricopharyngeus muscle compared to esophagogastroduodenoscopy (EGD).
- TNE is primarily used in teaching hospitals, with limited data on its implementation in district general hospitals (DGHs).
Purpose of the Study:
- To assess the feasibility of implementing TNE in a DGH setting.
- To evaluate if TNE can optimize patient resource allocation compared to barium swallow and EGD.
Main Methods:
- Analysis of a theater database for all patients who underwent TNE.
- Recording of patient indications, prior investigations, and procedural findings.
Main Results:
- TNE was technically successful in most cases.
- Positive findings were identified in 43% of patients who had previously undergone EGD.
- TNE enabled successful treatment of cricopharyngeal strictures and was often performed as a day-case procedure.
Conclusions:
- Transnasal esophagoscopy is a viable and effective procedure within a DGH.
- TNE can reveal significant findings even when prior EGD results were normal, due to its enhanced visualization capabilities.
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