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Pediatric Unsedated Transnasal Endoscopy.

Rajitha D Venkatesh1, Kristina Leinwand2, Nathalie Nguyen3

  • 1Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.

Gastrointestinal Endoscopy Clinics of North America
|March 22, 2023
PubMed
Summary
This summary is machine-generated.

Unsedated transnasal endoscopy (TNE) offers a safe and cost-effective way to examine the esophagus in children. This method avoids sedation risks and is ideal for monitoring conditions like eosinophilic esophagitis.

Keywords:
EsophagoscopyPediatricsUltrathin endoscopeUnsedated transnasal endoscopy

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Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures

Background:

  • Pediatric upper gastrointestinal evaluations often require endoscopy.
  • Sedation and anesthesia pose risks for pediatric patients.
  • Alternative endoscopic methods are needed.

Purpose of the Study:

  • To evaluate the feasibility, safety, and cost-effectiveness of unsedated transnasal endoscopy (TNE) in pediatric patients.
  • To assess TNE's utility in diagnosing and monitoring upper gastrointestinal disorders.

Main Methods:

  • Transnasal endoscopy performed without sedation or anesthesia.
  • Direct visualization of the esophagus.
  • Acquisition of biopsy samples.

Main Results:

  • Unsedated transnasal endoscopy (TNE) is a feasible and safe procedure for pediatric patients.
  • TNE eliminates risks associated with sedation and anesthesia.
  • The procedure is cost-effective.

Conclusions:

  • TNE is a viable option for pediatric upper gastrointestinal evaluations.
  • It is particularly useful for conditions requiring repeated endoscopies, such as eosinophilic esophagitis.
  • Establishing a TNE program requires careful planning and staff training.