Trial investigation of post-mortem non-invasive transnasal endoscopy

Asamura, Hideki; Shiozaki, Tetsuya; Sato, Noriko; Hayashi, Tokutaro

doi:10.1016/j.forsciint.2012.02.023

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…Suicide notes and witnessing are among the more the airways at external examination (Asamura et al 2012) and haemolytic staining of the aorta at autopsy, which can appear in some freshwater drownings (Tsokos et al 2008). Petechial haemorrhages in the periorbital region and in the conjunctiva are observed very rarely in drowning, but surprisingly these changes were reported in as many as 13% of the cases in a series of paediatric drowning (Somers et al 2008).…”

Section: Suicidementioning

confidence: 99%

Injuries due to Asphyxiation and Drowning

Keil¹,

Lunetta²,

Vann³

et al. 2014

Handbook of Forensic Medicine

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Section: Suicidementioning

confidence: 99%

Injuries due to Asphyxiation and Drowning

Keil¹,

Lunetta²,

Vann³

et al. 2014

Handbook of Forensic Medicine

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“…Combining laparoscopic autopsy with transnasal endoscopic examination of the gastrointestinal tract and bronchi as part of a minimally invasive autopsy protocol allows for a synergistic increase in the precision of the results. Conducting a transnasal endoscopic examination alone enables the cause of death to be determined in 40.9% of cases [ 62 ]. Transnasal access makes it possible to avoid difficulties such as jaw clenching due to rigor mortis or blockage of the oral cavity of other aetiology [ 62 ].…”

Section: Supplementary Proceduresmentioning

confidence: 99%

“…Conducting a transnasal endoscopic examination alone enables the cause of death to be determined in 40.9% of cases [ 62 ]. Transnasal access makes it possible to avoid difficulties such as jaw clenching due to rigor mortis or blockage of the oral cavity of other aetiology [ 62 ]. Endoscopy of the respiratory tract would allow for the assessment of the nasal cavity, pharynx, larynx, trachea, and bronchi, which are difficult to visualize during laparoscopic examination [ 62 ].…”

Section: Supplementary Proceduresmentioning

confidence: 99%

“…Transnasal access makes it possible to avoid difficulties such as jaw clenching due to rigor mortis or blockage of the oral cavity of other aetiology [ 62 ]. Endoscopy of the respiratory tract would allow for the assessment of the nasal cavity, pharynx, larynx, trachea, and bronchi, which are difficult to visualize during laparoscopic examination [ 62 ]. Endoscopic assessment of the digestive tract will enable the assessment of the internal surface of the oesophagus, stomach, and intestines, which pose significant diagnostic difficulties when using only the laparoscopic method [ 4 , 5 , 62 ].…”

Section: Supplementary Proceduresmentioning

confidence: 99%

“…Endoscopy of the respiratory tract would allow for the assessment of the nasal cavity, pharynx, larynx, trachea, and bronchi, which are difficult to visualize during laparoscopic examination [ 62 ]. Endoscopic assessment of the digestive tract will enable the assessment of the internal surface of the oesophagus, stomach, and intestines, which pose significant diagnostic difficulties when using only the laparoscopic method [ 4 , 5 , 62 ]. This will make it possible to keep the field clean during laparoscopic examination [ 4 ].…”

Section: Supplementary Proceduresmentioning

confidence: 99%

See 2 more Smart Citations

Minimally invasive autopsy – endoscopic approach to post-mortem diagnostics

Świderski,

Rzepczyk,

Bożek

et al. 2023

Videosurgery and Other Miniinvasive Techniques

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The noticeable decline in the number of autopsies performed in recent years requires investigation into the causes of the phenomenon and attempts to prevent it. One potential cause of this trend is fear of disfiguring the body. Carrying out autopsies using a minimally invasive method may reduce the decrease in the number of autopsies performed. The first work on the development of the method and its continuation gave promising results. This allows us to start a discussion on attempts to introduce the method. The solution seems especially justified when the alternative is to completely abandon post-mortem examinations using the traditional method. Laparoscopy and thoracoscopy are tools that allow for accurate imaging and analysis of organ changes. Enriching them with additional tests using endoscopic techniques may have a positive impact on the accuracy of autopsy diagnoses. The development of a clear protocol for minimally invasive post-mortem diagnosis requires further research to determine the accuracy of the method.

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