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Office‐based procedures for diagnosis and treatment of esophageal pathology
Author(s) -
Wellenstein David J.,
Schutte Henrieke W.,
Marres Henri A. M.,
Honings Jimmie,
Belafsky Peter C.,
Postma Gregory N.,
Takes Robert P.,
Broek Guido B.
Publication year - 2017
Publication title -
head and neck
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.012
H-Index - 127
eISSN - 1097-0347
pISSN - 1043-3074
DOI - 10.1002/hed.24819
Subject(s) - medicine , esophagus , esophageal sphincter , tolerability , surgery , endoscopy , head and neck , general surgery , reflux , adverse effect , pathology , disease
Background Diagnostic and therapeutic office‐based procedures under topical anesthesia are emerging in the daily practice of laryngologists and head and neck surgeons. Since the introduction of the transnasal esophagoscope, office‐based procedures for the esophagus are increasingly performed. Methods We conducted a systematic review of literature on office‐based procedures under topical anesthesia for the esophagus. Results Transnasal esophagoscopy is an extensively investigated office‐based procedure. This procedure shows better patient tolerability and equivalent accuracy compared to conventional transoral esophagoscopy, as well as time and cost savings. Secondary tracheoesophageal puncture, esophageal dilatation, esophageal sphincter injection, and foreign body removal are less investigated, but show promising results. Discussion With the introduction of the transnasal esophagoscope, an increasing number of diagnostic and therapeutic office‐based procedures for the esophagus are possible, with multiple advantages. Further investigation must prove the clinical feasibility and effectiveness of the therapeutic office‐based procedures.