Transnasal esophagoscopy

被引:66
作者
Belafsky, PC [1 ]
Postma, GN [1 ]
Daniel, E [1 ]
Koufman, JA [1 ]
机构
[1] Wake Forest Univ, Sch Med, Dept Otolaryngol, Ctr Voice Disorders, Winston Salem, NC 27157 USA
关键词
D O I
10.1067/mhn.2001.120427
中图分类号
R76 [耳鼻咽喉科学];
学科分类号
100213 ;
摘要
BACKGROUND: Transnasal esophagoscopy (TNE), a new diagnostic technology, allows comprehensive, In-office examination of the esophagus without sedation. OBJECTIVE: To report the authors' experience using TNE. METHODOLOGY., Retrospective review of 100 consecutive patients undergoing TNE. RESULTS: The most frequent indications for TNE were screening examination of the esophagus in reflux, globus, and/or dysphagia patients (n = 79), biopsy of a lesion in the laryngopharynx, trachea, or esophagus (n = 8), screening examination of the esophagus in head and neck cancer patients (n = 5), tracheoscopy and bronchoscopy (n = 4), and evaluation for an esophageal foreign body (n = 2). Four procedures were aborted secondary to a fight nasal vault. Significant findings were found in 44% (42/96). The most frequent findings were esophagitis (n = 19), Barrett's (n = 6), hiatal hernia (n = 4), and carcinoma (n = 5). CONCLUSIONS: TNE is safe and well tolerated by patients with topical anesthesia alone. TNE may replace radiographic imaging of the esophagus in otolaryngology patients with reflux, globus, and dysphagia.
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页码:588 / 589
页数:2
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