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Transnasal Esophagoscopy: Revisited (over 700 Consecutive Cases)
Author(s) -
Postma Gregory N.,
Cohen Jacob T.,
Belafsky Peter C.,
Halum Stacey L.,
Gupta Sumeer K.,
Bach Kevin K.,
Koufman Jamie A.
Publication year - 2005
Publication title -
the laryngoscope
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.181
H-Index - 148
eISSN - 1531-4995
pISSN - 0023-852X
DOI - 10.1097/01.mlg.0000154741.25443.fe
Subject(s) - medicine , esophagus , dysphagia , hiatal hernia , surgery , reflux , esophagitis , endoscopy , radiology , disease
Background: High‐resolution transnasal esophagoscopy (TNE) allows comprehensive, in‐office examination of the esophagus without sedation. Objective: To compare the authors' present experience using TNE with our initial, previously reported experience. Methodology: Retrospective review of 611 consecutive patients undergoing TNE was compared with 100 consecutive patients previously reported. Results: The most frequent indications for TNE were screening examination of the esophagus in reflux, globus, or dysphagia patients (n = 490), biopsy of a lesion in the laryngopharynx, trachea, or esophagus (n = 42), screening examination of the esophagus in head and neck cancer patients (n = 45), and evaluation for an esophageal foreign body (n = 12). Seventeen procedures were aborted secondary to a tight nasal vault. Significant findings were found in 50% (294/592). The most frequent findings were esophagitis (n = 98), hiatal hernia (n = 47), and Barrett's esophagus (n = 27). These results are similar to those previously reported. Conclusions: TNE is safe, well tolerated by patients, and is easy to learn with a short learning curve. TNE may replace radiographic imaging of the esophagus in otolaryngology patients with reflux, globus, and dysphagia.