Unsedated transnasal laryngo-esophagogastroduodenoscopy: an alternative to conventional endoscopy. Am J Med 2001 Dec 03;111 Suppl 8A:153S-156S
Date
12/26/2001Pubmed ID
11749942DOI
10.1016/s0002-9343(01)00852-xScopus ID
2-s2.0-0035804033 (requires institutional sign-in at Scopus site) 27 CitationsAbstract
The introduction, refinement, and subsequent widespread use of flexible fiberoptic endoscopes have revolutionized the diagnosis and management of upper gastrointestinal (GI) disorders. There has been a simultaneous increase in the cost of managing upper GI disorders, which is in part attributed to the high price of endoscopy. Unfortunately, in the current cost-conscious health-care environment, the high cost of endoscopy has resulted in the underuse of this valuable clinical tool. Unsedated transnasal laryngo-esophagogastroduodenoscopy (T-EGD) is a new technique for upper endoscopy that uses an ultrathin endoscope and has a comparable yield to conventional upper endoscopy but obviates the need for conscious sedation because it is better tolerated. Studies have found that T-EGD is a feasible alternative to conventional endoscopy in terms of safety, efficacy, and cost containment. This article reviews these factors, the technique of T-EGD, patient and endoscopist considerations, tissue sampling, and the characteristics of ultrathin endoscopes used for T-EGD.
Author List
Shaker R, Saeian KAuthors
Kia Saeian MD Professor in the Medicine department at Medical College of WisconsinReza Shaker MD Assoc Provost, Sr Assoc Dean, Ctr Dir, Chief, Prof in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Conscious SedationEndoscopy, Digestive System
Female
Fiber Optic Technology
Gastrointestinal Diseases
Humans
Male
Nose
Sensitivity and Specificity