Unsedated small caliber esophagogastroduodenoscopy: Can we trust this technique?

Abstract

Küçük çapl› endoskoplar gastrointestinal endoskopinin müthifl teknolojik gelifliminin en iyi örneklerinden biridir. ‹lk olarak pediatrik yafl grubu için 1970'li y›llarda tasarlanm›flken, günümüzdeki küçük çapl› videoendoskoplar, sedasyonsuz transnazal gastrointestinal endos-

Necessity of transnasal gastroscopy in routine diagnostics: a patient-centred requirement analysis

“…Adverse cardiopulmonary events are the most common risk 6 9–11. Sedation requires close monitoring during and after the procedure which increases the procedure’s total cost 12–14…”

Catheter‐free method is sufficient for preparation for transnasal endoscopy: Randomized controlled trial

“…Although peroral endoscopy has also often been used, it is associated with various incommodities such as nausea, aspiration, and gagging . Recently, ultrathin transnasal endoscopy (TNE) has seen widespread use, particularly as peroral endoscopy has been associated with higher risk in elderly and bedridden patients . Overall, TNE has many advantages that might favor its use over peroral endoscopy.…”

“…Second, TNE is associated with only a few complications and can provide good diagnostic accuracy because the technique does not require sedation . Third, TNE is a relatively comfortable and stable technique, particularly for elderly patients and those who may have compromised cardiopulmonary function . Additionally, patients are able to breathe comfortably and speak to the doctor during the procedure because the endoscope is inserted via a nostril .…”

“…[3][4][5] Recently, ultrathin transnasal endoscopy (TNE) has seen widespread use, particularly as peroral endoscopy has been associated with higher risk in elderly and bedridden patients. 6,7 Overall, TNE has many advantages that might favor its use over peroral endoscopy. First, TNE is associated with few hemorrhagic adverse events at the site of endoscope passage and decreased chance of gag reflex as a result of the thin diameter of the endoscope.…”

“…9,11 Third, TNE is a relatively comfortable and stable technique, particularly for elderly patients and those who may have compromised cardiopulmonary function. [6][7][8] Additionally, patients are able to breathe comfortably and speak to the doctor during the procedure because the endoscope is inserted via a nostril. 3,[12][13][14] All in all, TNE represents a valid alternative in the routine diagnosis of upper digestive tract disease.…”