Faculty Collaboration Database

Unsedated transnasal laryngo-esophagogastroduodenoscopy: an alternative to conventional endoscopy. Am J Med 2001 Dec 03;111 Suppl 8A:153S-156S

Date

12/26/2001

Pubmed ID

11749942

DOI

10.1016/s0002-9343(01)00852-x

Scopus ID

2-s2.0-0035804033 (requires institutional sign-in at Scopus site)   27 Citations

Abstract

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 K

Authors

Kia Saeian MD Professor in the Medicine department at Medical College of Wisconsin
Reza 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 Sedation
Endoscopy, Digestive System
Female
Fiber Optic Technology
Gastrointestinal Diseases
Humans
Male
Nose
Sensitivity and Specificity