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How we do it: Transnasal fibreoptic oesophagoscopy
Author(s) -
McPartlin D.W.,
Nouraei S.A.R.,
Tatla T.,
Howard D.J.,
Sandhu G.S.
Publication year - 2005
Publication title -
clinical otolaryngology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.914
H-Index - 68
eISSN - 1749-4486
pISSN - 1749-4478
DOI - 10.1111/j.1749-4486.2005.01082.x
Subject(s) - medicine , endoscopy , sedation , surgery , biopsy , radiology
Keypoints • Transnasal fibreoptic oesophagoscopy (TFO) allows the upper aerodigestive tract, from the nasal vestibule to the gastric cardia to be examined in the outpatients department without sedation. • This permits patients with symptoms of upper aerodigestive pathology to be investigated at the initial consultation without the need for inpatient endoscopy or swallow studies. • The technique is easily learned, and is statistically comparable with standard flexible nasoendoscopy in respect of procedural pain and discomfort. • It is highly cost‐efficient, paying for itself within 1 year, and thereafter leading to cost savings of over 80%. • Its role can be expanded to encompass investigating patients with potentially malignant disease processes, as well as outpatients ‘panendoscopy’ and biopsy, and a number of therapeutic interventions.