Unsedated transnasal versus transoral sedated upper gastrointestinal endoscopy: A one-series prospective study on safety and patient acceptability

Stroppa, I.; Grasso, E.; Paoluzi, Omero Alessandro; Razzini, Cinzia; Tosti, C.; Andrei, Fabio; Biancone, Livia; Palmieri, G; Romeo, Francesco; Pallone, Francesco

doi:10.1016/j.dld.2008.02.033

Cited by 37 publications

(37 citation statements)

References 27 publications

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“…They also suggested that discomfort, associated with fear of adverse events following sedation, was the reason given for the preference for T-EGD in examinees with the previous experience of sedated C-EGD. 8 The VAS score in the expert group was higher than that of the beginner group when tolerance to T-EGD was assessed. The level of examinee tolerance to the procedure was higher in the expert group than in the beginner group.…”

Section: -17mentioning

confidence: 99%

“…The patients were classified according to age, ≥35 years vs. ＜35 years, because T-EGD was found to be more successful endoscopic tool in the patients ≥35 years of age than in patients ＜35 years of age (statistic analysis was not shown here). 8 Subjects who previously had undergone unsedated or sedated C-EGD were asked which procedure they would prefer for the next examination. The endoscopists were also asked to complete the questionnaire assessing the procedure regarding overall quality, tolerance to T-EGD using a VAS score of 0∼10 (VAS; 0, nonexistent; 10, unbearable), and side effects during the endoscopic examination.…”

Section: Methodsmentioning

confidence: 99%

“…From the examinee's perspective, the preference for T-EGD was significantly greater in subjects who were older (≥35 years), male, or sedated C-EGD-experienced. Stroppa et al 8 sug-…”

Section: -17mentioning

confidence: 99%

“…8,[14][15][16][17][18] According to previous studies, successful T-EGD may depend mainly on examinee factors such as differences in individual pain sensation, differences in nasal cavity size, anesthetic preparation, or technical factors such as the type of endoscopic procedure. 19 In our study, the major cause of failure of the transnasal approach was unsuccessful transnasal insertion.…”

Section: -17mentioning

confidence: 99%

“…The advantages of transnasal EGD (T-EGD) over C-EGD include absence of pharynx stimulation, no reactive gagging and vomiting reflexes, no risk of aspiration, the possibility for the examinee to speak during the examination, and unsedated endoscopy. [7][8][9][10] In this study, we focused on factors that influence the preference for T-EGD. We investigated the feasibility and tolerance of T-EGD and to the examinee and endoscopist factors that should be considered when choosing the modality of upper GI examination in a general medical checkup.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Evaluation of Transnasal Esophagogastroduodenoscopy as a Surveillance Endoscopy in a General Medical Checkup

Lee

Kim

et al. 2014

Korean J Helicobacter Up Gastrointest Res

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Background/Aims: Transnasal esophagogastroduodenoscopy (T-EGD) has been reported to be well tolerated and is known to reduce patient discomfort that occurs with conventional EGD (C-EGD) performed via an oral route. We aimed to evaluate factors that influence preferences for T-EGD as a surveillance EGD in a general medical checkup. Materials and Methods: A total of 658 subjects (median age, 49 years; 45% men) underwent T-EGD procedures by 8 endoscopists using a 5.2-mm diameter endoscope. All examinees and endoscopists were asked to assess the T-EGD examinations using the post-endoscopy questionnaire. The post-endoscopy questionnaire included a 10-point visual analogue scale, which asked the patient to place a cross on the line according to examinee's or endoscopist's experience of the endoscopy procedure. Zero represented the worst experience and 10 the best experience. Results: T-EGD was feasible in 96.6% of the subjects. Younger age (＜35 years) and female sex were significant predictive factors for failure of the procedure. Older age (≥35 years) or male examines preferred T-EGD as the modality for the next examination. The endoscopist's overall discomfort level was higher in the beginner group than in the expert group. Conclusions: The T-EGD may be better tolerated than C-EGD and offers a more comfortable surveillance endoscopic procedure to older (≥35 years), male, or sedated C-EGD-experienced examinees in a general medical checkup. More experience with and education about T-EGD may help to improve the tolerance of the beginner group of endoscopists.

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Section: -17mentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

“…From the examinee's perspective, the preference for T-EGD was significantly greater in subjects who were older (≥35 years), male, or sedated C-EGD-experienced. Stroppa et al 8 sug-…”

Section: -17mentioning

confidence: 99%