Transnasal Endoscopy in Unsedated Children With Eosinophilic Esophagitis Using Virtual Reality Video Goggles

Nguyen, Nathalie; Lavery, William J.; Capocelli, Kelley E.; Smith, Clint; DeBoer, Emily M.; Deterding, Robin R.; Prager, Jeremy D.; Leinwand, Kristina; Kobak, Greg E.; Krämer, Robert; Menard‐Katcher, Calies; Furuta, Glenn T.; Atkins, Dan; Fleischer, David M.; Greenhawt, Matthew; Friedlander, Joel A.

doi:10.1016/j.cgh.2019.01.023

Cited by 63 publications

(70 citation statements)

References 30 publications

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“…A retrospective study of 190 patients found that VR allowed unsedated transnasal gastroscopy in children and young adults. In this study, VR-assisted transnasal gastroscopy was safe and cost-effective for staging of eosinophilic esophagitis [39]. The argument has been made that VR makes it possible to avoid sedation for colonoscopy, which fuels patient experience [40].…”

Section: Discussionmentioning

confidence: 82%

Virtual reality distraction for patients to relieve pain and discomfort during colonoscopy

et al. 2020

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Background and study aims Colonoscopy is an invasive procedure that may cause patients pain and discomfort. Routine use of sedation, while effective, is expensive and requires logistical planning. Virtual reality (VR) offers immersive, three-dimensional experiences that distract the attention and might comfort patients. We performed a pilot study to investigate the feasibility of VR distraction during colonoscopy. Patients and methods Adults referred for colonoscopy were considered for inclusion and divided over two groups: with and without VR glasses. The main outcome was patient acceptance of wearing VR glasses during colonoscopy without compromising the technical success of the procedure. Secondary outcomes were patient comfort, pain, and anxiety before, during and after the procedure, using validated patient questionnaires. Patient comments were collected through a qualitative interview. Results We included 19 patients, 10 of whom were offered VR glasses. All patients accepted VR glasses without prolonging procedural time. No disadvantages of the VR glasses were reported in terms of communication or change of position of the patient. We found that patient comfort, pain, anxiety, and satisfaction in relation to the procedure were similar in both groups. Patients described a pleasant distracting effect using VR glasses. Conclusion VR glasses during colonoscopy are accepted by patients and do not compromise endoscopic technical success. Patients reported that the VR experience was pleasant and distracting.

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Section: Discussionmentioning

confidence: 82%

Virtual reality distraction for patients to relieve pain and discomfort during colonoscopy

et al. 2020

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“…One limitation of the current imaging probe design is EoE's significant prevalence and incident rate [1] in young children who are unable to swallow the capsule. This vulnerable population also carries a higher risk for anesthesia related complications in WLE [23], resulting in the recent adoption of unsedated transnasal endoscopy (TNE) [138] for EoE diagnosis in a growing number of pediatric GI clinics [139][140][141]. Unsedated TNE provides a considerable reduction in procedure costs and is in general better tolerated (both due to the lack of anesthesia), however, handling of the reduced-formfactor endoscope is slightly impeded and up to 5% of subjects experience epistaxis [138].…”

Section: Discussionmentioning

confidence: 99%

In vivo optical endomicroscopy: two decades of translational research towards next generation diagnosis of eosinophilic esophagitis

et al. 2021

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Histopathologic analysis of biopsy specimens obtained via white light endoscopy (WLE) is the gold standard for the diagnosis of several mucosal diseases in the upper gastrointestinal (GI) tract. However, this standard of care entails a series of critical shortcomings such as missing depth information, high costs, time inefficiency, low-resolution imaging in vivo, high sampling variability, missing intrinsic tissue-specific contrast, and anesthesia related risk. In the quest for a diagnostic technology to replace the current standard of care, in vivo optical endomicroscopy has emerged as a promising alternative. This paper tells the story of a cluster of optical microscopy-based modalities invented, further developed, or first-validated in the laboratory of Dr. Guillermo J. Tearney (Tearney Lab) at the Wellman Center for Photomedicine of Massachusetts General Hospital over the past two decades, that combined lead to a novel method for diagnosis of eosinophilic esophagitis (EoE). Rather than being a comprehensive literature review, this paper aims to describe the translational journey towards a disease specific diagnostic and research tool for this increasingly recognized yet poorly understood immune-mediated disorder of the esophagus.

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“…Trans-nasal esophagoscopies without sedation have emerged as a response to this concern. This modality of endoscopy has been linked to greater satisfaction in patients and their parents, have been able to obtaining similar biopsies to those obtained during a EGD and is associated with 62% reduction of costs 50,51 .…”

Section: Endoscopymentioning

confidence: 99%

Clinical presentation of eosinophilic esophagitis in the pediatric age

Chapa-Rodríguez¹,

Munoz-Mendoza²

2021

RMU

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Transnasal Endoscopy in Unsedated Children With Eosinophilic Esophagitis Using Virtual Reality Video Goggles

Cited by 63 publications

References 30 publications

Virtual reality distraction for patients to relieve pain and discomfort during colonoscopy

Virtual reality distraction for patients to relieve pain and discomfort during colonoscopy

In vivo optical endomicroscopy: two decades of translational research towards next generation diagnosis of eosinophilic esophagitis

Clinical presentation of eosinophilic esophagitis in the pediatric age

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