155 results match your criteria Esophagoscopy Transnasal


Virtual Dysphagia Evaluation: Practical Guidelines for Dysphagia Management in the Context of the COVID-19 Pandemic.

Otolaryngol Head Neck Surg 2020 May 26:194599820931791. Epub 2020 May 26.

Department of Otorhinolaryngology-Head and Neck Surgery, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

With encouraging signs of pandemic containment nationwide, the promise of return to a full range of clinical practice is on the horizon. Clinicians are starting to prepare for a transition from limited evaluation of emergent and urgent complaints to resumption of elective surgical procedures and routine office visits within the next few weeks to months. Otolaryngology as a specialty faces unique challenges when it comes to the COVID-19 pandemic due to the fact that a comprehensive head and neck examination requires aerosol-generating endoscopic procedures. Read More

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http://dx.doi.org/10.1177/0194599820931791DOI Listing

Endoscopic Preoperative Assessment, Classification of Stenosis, Decision-Making.

Front Pediatr 2019 8;7:532. Epub 2020 Jan 8.

IRCCS Ospedale Policlinico San Martino, Genoa, Italy.

Pediatric Laryngo-Tracheal Stenosis (LTS) comprises different conditions that require precise preoperative assessment and classification. According to the guidelines, the optimal diagnostic work-up of LTS patients relies both on a comprehensive anamnesis and on endoscopic and radiological assessments. All the causes of LTS result in an impairment in airflow, mucociliary clearance, phonation, and sometimes in swallowing disorders. Read More

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http://dx.doi.org/10.3389/fped.2019.00532DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6960172PMC
January 2020

The Utility of Flexible Esophagoscopy During Open Hypopharyngeal (Zenker's) Diverticulum Surgery.

Laryngoscope 2019 Dec 19. Epub 2019 Dec 19.

Department of Otolaryngology-Head & Neck Surgery, Medical College of Georgia at Augusta University, Augusta, GA, U.S.A.

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http://dx.doi.org/10.1002/lary.28485DOI Listing
December 2019

Novel Screening Tests for Barrett's Esophagus.

Curr Gastroenterol Rep 2019 Jul 25;21(9):42. Epub 2019 Jul 25.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

Purpose Of Review: There has been an exponential increase in the incidence of esophageal adenocarcinoma (EAC) over the last half century. Barrett's esophagus (BE) is the only known precursor lesion of EAC. Screening for BE in high-risk populations has been advocated with the aim of identifying BE, followed by endoscopic surveillance to detect dysplasia and early stage cancer, with the intent that treatment can improve outcomes. Read More

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http://dx.doi.org/10.1007/s11894-019-0710-9DOI Listing

Upper Esophageal Sphincter Dilation for Recalcitrant Dysphagia Secondary to Dermatomyositis.

Ear Nose Throat J 2019 Oct-Nov;98(9):NP142-NP143. Epub 2019 Apr 15.

Department of Otolaryngology, Head and Neck Surgery, Emory University, Atlanta, GA, USA.

Dermatomyositis is a rare multisystem autoimmune disorder occasionally accompanied by dysphagia. It is typically treated with immune modulating agents; however, dysphagia is often unresponsive to these. Previous reports have demonstrated the utility of videoflouroscopy and manometry in understanding the etiologies of dysphagia to inform a procedural target, historically the cricopharyngeus muscle. Read More

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http://dx.doi.org/10.1177/0145561319842511DOI Listing
April 2020
2 Reads

In-Office Evaluation and Management of Dysphagia.

Otolaryngol Clin North Am 2019 Jun 22;52(3):577-587. Epub 2019 Mar 22.

Department of Otolaryngology, Voice, Airway and Swallowing Center, Medical College of Georgia at Augusta University, 1120 15th Street, Augusta, GA 30912, USA.

Dysphagia is a common complaint encountered in otolaryngology clinics. Approaching the patient with dysphagia starts with a comprehensive symptomatic analysis and thorough physical examination. The recent rapid revolution in office-based procedures has a great impact in the evaluation and management of dysphagia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00306665193000
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http://dx.doi.org/10.1016/j.otc.2019.02.007DOI Listing
June 2019
21 Reads

Cost analysis of office-based transnasal esophagoscopy.

Eur Arch Otorhinolaryngol 2019 May 26;276(5):1457-1463. Epub 2019 Feb 26.

Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Philips van Leydenlaan 15, 6500 HB, Nijmegen, The Netherlands.

Purpose: Although office-based transnasal esophagoscopy has been investigated extensively, a cost analysis is still lacking. We performed a cost analysis combined with feasibility study for two diagnostic processes: patients with globus pharyngeus and/or dysphagia, and hypopharyngeal carcinoma.

Methods: Prospective cohort study. Read More

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http://dx.doi.org/10.1007/s00405-019-05357-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6458968PMC
May 2019
21 Reads

Transnasal Endoscopy in Unsedated Children With Eosinophilic Esophagitis Using Virtual Reality Video Goggles.

Clin Gastroenterol Hepatol 2019 11 29;17(12):2455-2462. Epub 2019 Jan 29.

Digestive Health Institute, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital Colorado, University of Colorado School of Medicine; Aerodigestive Program, Children's Hospital Colorado.

Background & Aims: Evaluation and treatment of children with eosinophilic esophagitis (EoE) requires serial endoscopic, visual, and histologic assessment by sedated esophagogastroduodenoscopy (EGD). Unsedated transnasal endoscopy (TNE) was reported to be successful in a pilot study of children. We evaluated video goggle and virtual reality-based unsedated TNE in children with EoE, collecting data on rates of completion, adverse events, and adequacy of visual and histologic findings. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15423565193007
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http://dx.doi.org/10.1016/j.cgh.2019.01.023DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6663663PMC
November 2019
52 Reads

Transnasal Esophagoscopy-Our Experience.

Int Arch Otorhinolaryngol 2019 Jan 11;23(1):7-11. Epub 2018 Oct 11.

Department of ENT, Lancaster Royal Infirmary, Lancaster, United Kingdom of Great Britain and Northern Ireland.

 Transnasal esophagoscopy (TNE) is a widely used tool both in the diagnosis and treatment of patients presenting complaints within the head and the neck. This is because this investigative adjunct examination provides the advantage of visualizing above the level of the cricopharyngeus muscle when compared to the more widely used esophagogastroduodenoscopy (EGD).  We have assessed if the implementation of TNE within a district general hospital (DGH) was feasible, and investigated if the resources of our patients could be better directed away from other investigations such as barium swallow and EGD in favor of this novel technique. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1661359
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http://dx.doi.org/10.1055/s-0038-1661359DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6331291PMC
January 2019
26 Reads

Office-based transnasal esophagoscopy biopsies for histological diagnosis of head and neck patients.

Laryngoscope 2019 12 13;129(12):2721-2726. Epub 2018 Dec 13.

Department of Otolaryngology-Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich, United Kingdom.

Objectives/hypothesis: To present yield of transnasal esophagoscopy (TNE) biopsies of upper aerodigestive tract (UADT) lesions and define the role of TNE as a safe alternative to rigid endoscopy.

Study Design: Retrospective case series.

Methods: All patients who underwent TNE-guided biopsies attempted over a 2-year period were included. Read More

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http://dx.doi.org/10.1002/lary.27714DOI Listing
December 2019
11 Reads
2.032 Impact Factor

Endosheath ultrathin transnasal endoscopy is a cost-effective method for screening for Barrett's esophagus in patients with GERD symptoms.

Gastrointest Endosc 2019 04 29;89(4):712-722.e3. Epub 2018 Oct 29.

Department of Gastroenterology and Hepatology, Radboud University Medical Center, Radboud University, Nijmegen, The Netherlands.

Background And Aims: Barrett's esophagus (BE) screening is currently not considered to be cost effective in the general population but may be effective in high-risk subgroups, such as 50-year-old white men with chronic reflux disease (GERD). A new modality for screening is unsedated transnasal endoscopy using endosheath technology (uTNE), which has been shown to be safe and effective in clinical practice. In this study, we determined the cost-utility of uTNE in a high-risk subgroup compared with no screening or screening with standard endoscopy. Read More

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http://dx.doi.org/10.1016/j.gie.2018.10.024DOI Listing
April 2019
4 Reads

Esophagitis Dissecans Superficialis Diagnosed by Unsedated Transnasal Esophagoscopy.

J Pediatr Gastroenterol Nutr 2019 08;69(2):e54

Digestive Health Institute, Section of Pediatric Gastroenterology, Hepatology and Nutrition.

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http://Insights.ovid.com/crossref?an=00005176-900000000-9666
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http://dx.doi.org/10.1097/MPG.0000000000002173DOI Listing
August 2019
8 Reads

Enhancing the Detection of Barrett Esophagus.

Thorac Surg Clin 2018 Nov;28(4):453-464

Esophageal and Lung Institute, Allegheny Health Network, Western Pennsylvania Hospital, Suite 158, Mellon Pavilion, 4815 Liberty Avenue, Pittsburgh, PA 15224, USA. Electronic address:

In Western countries, the incidence of esophageal adenocarcinoma has increased rapidly in parallel with its premalignant condition, Barrett esophagus (BE). Unlike colonoscopy, endoscopic screening for BE is not currently recommended for all patients; however, surveillance endoscopy is advocated for patients with established BE. Novel imaging and sampling techniques have been developed and investigated for the purpose of improving the detection of Barrett esophagus, dysplasia, and neoplasia. Read More

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http://dx.doi.org/10.1016/j.thorsurg.2018.07.011DOI Listing
November 2018
15 Reads

Current Indications for Transnasal Esophagoscopy: An American Broncho-Esophagological Association Survey.

Ann Otol Rhinol Laryngol 2018 Dec 21;127(12):926-930. Epub 2018 Sep 21.

3 Department of Speech and Hearing Sciences, Indiana University, Bloomington, IN, USA.

Introduction:: The aim of this study was to evaluate the current indications for and clinical factors influencing the use of transnasal esophagoscopy (TNE).

Methods:: An online survey was sent to American Broncho-Esophagological Association members, including questions on demographics, indications, and factors influencing the use of TNE.

Results:: Sixty of 251 members (24%) completed the survey. Read More

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http://dx.doi.org/10.1177/0003489418800840DOI Listing
December 2018
12 Reads

Eosinophilic esophagitis: an underdiagnosed cause of dysphagia and food impaction to be recognized by otolaryngologists.

HNO 2018 Jul;66(7):534-542

Department of Otolaryngology Head and Neck Surgery, Hospital Universitario Puerta de Hierro Majadahonda, 1 Manuel de Falla Street, Majadahonda, 28222, Madrid, Spain.

Eosinophilic esophagitis (EoE) is a recently recognised pathologic entity whose prevalence has risen significantly since first being described in 1993. Defined as a chronic, local immune-mediated disease with predominant eosinophil infiltration, it is nowadays the leading cause of dysphagia and food bolus impaction in children and young adults. Genetic and environmental risk factors, and especially food antigens, trigger the disease and are in the focus of investigation as avoidance can cure three quarters of patients. Read More

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http://dx.doi.org/10.1007/s00106-018-0516-3DOI Listing
July 2018
13 Reads

Improved symptomatic, functional, and fluoroscopic outcomes following serial "series of three" double-balloon dilation for cricopharyngeus muscle dysfunction.

J Otolaryngol Head Neck Surg 2018 May 15;47(1):35. Epub 2018 May 15.

Center for Voice and Swallowing, Department of Otolaryngology - Head & Neck Surgery, University of California Davis, Sacramento, CA, USA.

Background: Cricopharyngeus muscle dysfunction (CPMD) is a common cause of dysphagia. We employ a progressive series of three double-balloon dilations separated by 4-6 weeks between procedures as a primary treatment option. The purpose of this study was to evaluate subjective, functional and objective improvement in swallowing after three serial dilations for CPMD. Read More

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http://dx.doi.org/10.1186/s40463-018-0278-7DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5952613PMC
May 2018
31 Reads

Oesophageal causes of dysphagia localised only to the pharynx: Implications for the suspected head and neck cancer pathway.

Clin Otolaryngol 2018 Apr 10. Epub 2018 Apr 10.

Department of Gastroenterology, Royal Cornwall Hospital, Truro, UK.

Objectives: Dysphagia is a presenting symptom of both pharyngeal and oesophageal cancers. The referral pathway choice is determined by whether it is thought to be oropharyngeal or oesophageal, and this is in turn influenced by whether dysphagia is perceived to be above or below the suprasternal notch. We studied the concordance between the presence of pharynx-localised dysphagia (PLD) and the location of the underlying disease processes. Read More

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http://dx.doi.org/10.1111/coa.13115DOI Listing
April 2018
7 Reads

In-office laryngeal procedures (IOLP) in Canada: current safety practices and procedural care.

J Otolaryngol Head Neck Surg 2018 Apr 3;47(1):23. Epub 2018 Apr 3.

Department of Otolaryngology-Head and Neck Surgery, University of Toronto, St-Michael's Hospital, 30 Bond Street, Toronto, ON, M5B 1W8, Canada.

Background: The advent of chip tip technology combined with advanced endoscopy has revolutionized the field of laryngology in the past decade. Procedures such as transnasal esophagoscopy, site-specific steroid injections, injection laryngoplasty and laryngeal laser treatment can now be performed in the office setting under local anaesthesia. Although In-Office Laryngeal Procedures (IOLPs) have become standard-of-care in many American and several Canadian centers, there are no guidelines regulating the practice of these procedures. Read More

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http://dx.doi.org/10.1186/s40463-018-0270-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5883580PMC
April 2018
7 Reads

Office-based esophageal dilation in head and neck cancer: Safety, feasibility, and cost analysis.

Laryngoscope 2018 10 8;128(10):2261-2267. Epub 2018 Feb 8.

Department of Otolaryngology-Head and Neck Surgery, University of Cincinnati College of Medicine, Cincinnati, Ohio, U.S.A.

Objective: To review experience, safety, and cost of office-based esophageal dilation in patients with history of head and neck cancer (HNCA).

Methods: The medical records of patients undergoing esophageal dilation in the office were retrospectively reviewed between August 2015 and May 2017. Patients were given nasal topical anesthesia. Read More

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http://dx.doi.org/10.1002/lary.27121DOI Listing
October 2018
111 Reads

Reliability and safety of transnasal compared to conventional endoscopy for detecting oesophageal varices in cirrhotic patients.

Liver Int 2018 08 10;38(8):1418-1426. Epub 2018 Feb 10.

Gastroenterology Department, University of the State of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.

Background & Aims: Unsedated transnasal endoscopy may be used for detecting oesophageal varices. However, few studies evaluated feasibility and accuracy of this technique. We aimed to evaluate accuracy, interobserver agreement and safety of the transnasal ultrathin compared to conventional endoscopy in patients with cirrhosis. Read More

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http://dx.doi.org/10.1111/liv.13692DOI Listing
August 2018
7 Reads

Indications for transnasal flexible laryngooesophagoscopy in a head and neck clinic, our experience in one hundred and ninety-four patients.

Clin Otolaryngol 2018 06 25;43(3):924-928. Epub 2018 Jan 25.

Department of Otolaryngology-Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich, UK.

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http://dx.doi.org/10.1111/coa.13061DOI Listing
June 2018
4 Reads

Where am I? Transnasal esophagoscopy outside the normal esophagus.

Ear Nose Throat J 2017 Dec;96(12):E44

Department of Otolaryngology-Head and Neck Surgery, Medical College of Georgia at Augusta University, Augusta, GA, USA.

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http://dx.doi.org/10.1177/014556131709601210DOI Listing
December 2017
9 Reads

Symptom relief and health-related quality of life in globus patients: a prospective study.

Logoped Phoniatr Vocol 2019 Jul 9;44(2):67-72. Epub 2017 Nov 9.

a Department of Otorhinolaryngology - Head and Neck Surgery , University of Helsinki and Helsinki University Hospital , Helsinki , Finland.

Globus may be a persistent symptom impairing patients' quality of life. Diagnostics and treatment are controversial but some globus patients may benefit from reassurance and attention. We investigated how globus symptoms change during a short-term follow-up without any treatment after an examination by an ear, nose and throat (ENT) physician and further diagnostic procedures. Read More

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http://dx.doi.org/10.1080/14015439.2017.1397741DOI Listing
July 2019
97 Reads

Alternatives to Traditional Per-Oral Endoscopy for Screening.

Gastrointest Endosc Clin N Am 2017 Jul 4;27(3):379-396. Epub 2017 Apr 4.

MRC Cancer Unit, Hutchinson/MRC Research Centre, University of Cambridge, Box 197, Cambridge Biomedical Campus, Cambridge CB2 0XZ, UK.

Barrett's esophagus (BE) predisposes patients to esophageal adenocarcinoma. 3 to 6% of individuals with gastro-esophageal reflux disease are estimated to have BE but only 20 to 25% of BE patients are currently diagnosed. The current gold standard for diagnosis of BE is per-oral upper GI endoscopy. Read More

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http://dx.doi.org/10.1016/j.giec.2017.02.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055990PMC
July 2017
10 Reads

Unsedated In-office Transgastrostomy Esophagoscopy to Monitor Therapy in Pediatric Esophageal Disease.

J Pediatr Gastroenterol Nutr 2018 01;66(1):33-36

Department of Pediatrics.

Monitoring therapy in esophageal inflammatory disorders such as eosinophilic esophagitis and reflux esophagitis often requires frequent endoscopic evaluation. We recently reported the effective use of unsedated in-office transnasal esophagoscopy that significantly decreased costs and anesthetic exposure associated with pediatric esophagoscopy in eosinophilic esophagitis. Here we report a series of pediatric patients with esophagitis with gastrostomy tubes who underwent unsedated transgastrostomy esophagoscopy (TGE) in an office setting. Read More

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http://dx.doi.org/10.1097/MPG.0000000000001631DOI Listing
January 2018
30 Reads

Office-based procedures for diagnosis and treatment of esophageal pathology.

Head Neck 2017 09 12;39(9):1910-1919. Epub 2017 May 12.

Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.

Background: Diagnostic and therapeutic office-based procedures under topical anesthesia are emerging in the daily practice of laryngologists and head and neck surgeons. Since the introduction of the transnasal esophagoscope, office-based procedures for the esophagus are increasingly performed.

Methods: We conducted a systematic review of literature on office-based procedures under topical anesthesia for the esophagus. Read More

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http://dx.doi.org/10.1002/hed.24819DOI Listing
September 2017
9 Reads

Comparative quality assessment of esophageal examination with transnasal and sedated endoscopy.

Endosc Int Open 2017 May;5(5):E340-E344

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.

 Unsedated transnasal esophagoscopy (TNE) may offer a less expensive, mobile alternative to sedated esophagogastroduodenoscopy (EGD) for evaluations of reflux related complications. Comparisons of imaging quality by these methods are lacking.  Two reviewers evaluated videos of TNE and EGD procedures, performed during a community randomized study comparing endoscopic techniques. Read More

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http://dx.doi.org/10.1055/s-0042-122008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5419847PMC
May 2017
30 Reads

Out-patient flexible carbon dioxide laser surgery for benign laryngopharyngeal pathologies via transnasal flexible laryngo-oesophagoscopy.

J Laryngol Otol 2017 Jul 20;131(7):650-654. Epub 2017 Apr 20.

Department of Otolaryngology - Head and Neck Surgery,Norfolk and Norwich University Hospital,Norwich,UK.

Objective: To assess the feasibility and outcomes of flexible carbon dioxide laser surgery in a clinic-based setting.

Methods: A prospective study was conducted in a tertiary centre. Clinical indications, clinical outcomes and patient satisfaction were assessed in patients treated with flexible carbon dioxide laser surgery via transnasal endoscopy and followed up over a period of up to nine months. Read More

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http://dx.doi.org/10.1017/S0022215117000792DOI Listing
July 2017
98 Reads

Predictive Factors for the Migration of Endoscopic Self-Expanding Metal Stents Placed in the Foregut.

Surg Innov 2017 Aug 6;24(4):353-357. Epub 2017 Apr 6.

1 University Hospitals Case Medical Center, Cleveland, OH, USA.

Background: With recent advancements in endoscopy, self-expandable metal stents (SEMS) have been used to treat gastrointestinal leaks, perforations, and strictures. Stent migration frequently complicates management and often requires additional treatments to reach resolution. Our study aimed to determine predictive factors for stent migration. Read More

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http://dx.doi.org/10.1177/1553350617702026DOI Listing
August 2017
13 Reads

Role of transnasal flexible laryngo-oesophagoscopy (TNFLO) in investigating patients with globus symptoms.

Clin Otolaryngol 2017 Dec 18;42(6):1311-1318. Epub 2017 Apr 18.

Department of Otolaryngology-Head and Neck Surgery, Norfolk and Norwich University Hospital, Norwich, UK.

Objective: To explore the rationale for investigating patients presenting with globus symptoms. In this regard, we also assess the efficacy and safety of transnasal flexible laryngo-oesophagoscopy (TNFLO).

Methods: A prospective study in a head and neck cancer centre of patients with persistent globus symptoms with normal flexible nasoendoscopy/indirect mirror laryngoscopy and failure of first-line medical treatment. Read More

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http://dx.doi.org/10.1111/coa.12872DOI Listing
December 2017
67 Reads

Relationship between functional endoscopy and impedance-pH measurement.

HNO 2017 Aug;65(Suppl 2):116-121

Refluxcenter Darmstadt, Darmstadt, Germany.

Classic gastroenterological diagnostic tools have proven to be insufficient in identifying the causal relationship between extra-esophageal symptoms and presumed pathological reflux activity. Some new methodological approaches, such as functional endoscopy (video panendoscopy, VPE), are considered to be helpful. However, there are currently no data objectively verifying the success of this method. Read More

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http://dx.doi.org/10.1007/s00106-016-0317-5DOI Listing
August 2017
7 Reads

Recent Advances in Non-invasive Esophageal Tissue Sampling.

Authors:
David A Katzka

Curr Gastroenterol Rep 2017 Mar;19(3)

Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Ave., S.W., Rochester, MN, 55905, USA.

Purpose Of Review: The costs to society and accuracy of screening for esophageal cancer and other esophageal diseases with standard endoscopy are formidable. As a result, the applicability of endoscopy as a general screening tool has been challenged.

Recent Findings: To maintain accuracy but reduce the price of endoscopy on society, multiple adjunct or replacement technologies are being developed that are less expensive and more easily applied. Read More

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http://dx.doi.org/10.1007/s11894-017-0550-4DOI Listing
March 2017
5 Reads

[Relationship between functional endoscopy and impedance-pH measurement. German version].

HNO 2017 Aug;65(8):657-662

Refluxzentrum Darmstadt, Darmstadt, Deutschland.

Classic gastroenterological diagnostic tools are proving increasingly insufficient for analyzing the complex causal relationship between extra-esophageal symptoms and presumed pathological reflux activity. Some new methodological approaches, such as functional endoscopy (videopanendoscopy, VPE), are considered to be helpful. However, there are currently no data objectively verifying the usefulness of this method. Read More

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http://link.springer.com/10.1007/s00106-016-0313-9
Publisher Site
http://dx.doi.org/10.1007/s00106-016-0313-9DOI Listing
August 2017
8 Reads

Prospective multi-institutional transnasal esophagoscopy: Predictors of a change in management.

Laryngoscope 2016 12 17;126(12):2667-2671. Epub 2016 Aug 17.

Voice and Swallowing Institute, Department of Otolaryngology-Head and Neck Surgery, Columbia University Medical Center, New York, New York, U.S.A.

Objectives/hypothesis: To evaluate clinical indications and endoscopic findings for patients undergoing transnasal esophagoscopy (TNE).

Study Design: Prospective, multi-institutional, observational cohort study at four tertiary centers.

Methods: Demographics, reflux finding score, reflux symptom index, Eating Assessment Tool (EAT-10) scores, clinical indications, and endoscopic findings were compared among patients whose TNE findings resulted in a changes in management (FCIM), defined as a referral, new medication, or surgery recommendation. Read More

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http://dx.doi.org/10.1002/lary.26171DOI Listing
December 2016
39 Reads

The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient's Perception: A Prospective Study.

Clin Exp Otorhinolaryngol 2016 Dec 18;9(4):366-369. Epub 2016 Jun 18.

Department of Otorhinolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey.

Objectives: Transnasal esophagoscopy (TNE) is a relatively new diagnostic procedure in the evaluation of patients with globus sensation and dysphagia. Enabling doctors to examine all of the upper aerodigestive system without the need for sedation, this technique is becoming more popular among otolaryngology specialists. The aim of this study is to evaluate the practicability of TNE and tolerability of patients to the test. Read More

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http://dx.doi.org/10.21053/ceo.2015.01935DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5115155PMC
December 2016
98 Reads

The detection of oesophageal varices using a novel, disposable, probe-based transnasal endoscope: a prospective diagnostic pilot study.

Liver Int 2016 11 24;36(11):1639-1648. Epub 2016 May 24.

NIHR Nottingham Digestive Diseases Biomedical Research Unit, Nottingham University Hospitals NHS Trust and University of Nottingham, Nottingham, UK.

Background & Aims: Screening for oesophageal varices (OV) using conventional oesophagogastroduodenoscopy (C-OGD) is invasive and requires costly monitoring, recovery, and decontamination facilities. We aimed to evaluate the technical feasibility, acceptability and accuracy of a novel, portable and disposable office-based transnasal endoscope (EG Scan ) compared to C-OGD as the reference standard.

Methods: This was a prospective cohort study. Read More

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http://dx.doi.org/10.1111/liv.13152DOI Listing
November 2016
42 Reads

In-Office Secondary Tracheoesophageal Puncture with Immediate Prosthesis Placement.

Otolaryngol Head Neck Surg 2016 08 5;155(2):360-3. Epub 2016 Apr 5.

Department of Otolaryngology-Head and Neck Surgery, University of Michigan Health System, Ann Arbor, Michigan, USA

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http://dx.doi.org/10.1177/0194599816642175DOI Listing
August 2016
9 Reads

Regular screening of esophageal cancer for 248 newly diagnosed hypopharyngeal squamous cell carcinoma by unsedated transnasal esophagogastroduodenoscopy.

Oral Oncol 2016 Apr 1;55:55-60. Epub 2016 Feb 1.

Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, Taiwan; Graduate Institute of Pathology, National Taiwan University, College of Medicine, Taipei, Taiwan. Electronic address:

Objectives: Esophageal squamous cell carcinoma (ESCC) is common in hypopharyngeal squamous cell carcinoma (HSCC) patients. This prospective study is to reveal the prevalence of simultaneous ESCC in newly diagnosed HSCC patients by unsedated transnasal esophagogastroduodenoscopy (EGD) and to analyze the clinical predictors for simultaneous esophageal lesions and their survival.

Materials And Methods: 248 patients with newly diagnosed HSCC and without previous head and neck cancer between 2007 and 2014 were prospectively evaluated for HSCC and simultaneous esophageal lesions by unsedated transnasal EGD. Read More

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http://dx.doi.org/10.1016/j.oraloncology.2016.01.008DOI Listing
April 2016
74 Reads

Can endosheath technology open primary care doors to Barrett's esophagus screening by transnasal endoscopy?

Endoscopy 2016 Feb 28;48(2):105-6. Epub 2016 Jan 28.

Division of Gastroenterology, Case Western Reserve University, Cleveland, Ohio, United States.

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http://dx.doi.org/10.1055/s-0034-1393561DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5575807PMC
February 2016
17 Reads

Supragastric belch may be related to globus symptom - a prospective clinical study.

Neurogastroenterol Motil 2016 05 6;28(5):680-6. Epub 2016 Jan 6.

Department of Otorhinolaryngology - Head and Neck Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.

Background: The etiology of globus is poorly understood. It is controversial, whether gastroesophageal reflux disease (GERD) has a role in globus. To investigate the possible esophageal background of this symptom, we performed transnasal esophagoscopy (TNE), high-resolution manometry (HRM), and 24-h multichannel intraluminal impedance (MII) and pH monitoring on globus patients. Read More

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http://dx.doi.org/10.1111/nmo.12764DOI Listing
May 2016
26 Reads

The role of transnasal oesophagoscopy in the management of globus pharyngeus and non-progressive dysphagia.

Ann R Coll Surg Engl 2016 Jan;98(1):49-52

Aneurin Bevan University Health Board , UK.

Introduction Transnasal oesophagoscopy is a relatively new method of examining the upper aerodigestive tract via the nasal passage as an outpatient procedure without the need for sedation. It has been shown to be a well tolerated, safe and accurate technique, that can therefore be used in the investigation of patients thought to have globus pharyngeus and other non sinister causes of dysphagia. Methods A total of 150 consecutive patients undergoing transnasal oesophagoscopy were analysed retrospectively. Read More

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http://dx.doi.org/10.1308/rcsann.2015.0052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5234375PMC
January 2016
9 Reads

Pilot randomized crossover study comparing the efficacy of transnasal disposable endosheath with standard endoscopy to detect Barrett's esophagus.

Endoscopy 2016 Feb 4;48(2):110-6. Epub 2015 Nov 4.

MRC Cancer Unit, University of Cambridge, Cambridge Biomedical Campus, Cambridge, United Kingdom.

Background And Study Aims: The transnasal endosheath endoscope is a new disposable technology with potential applicability to the primary care setting. The aim of this study was to evaluate the efficacy of transnasal endosheath endoscopy (TEE) for the detection of Barrett's esophagus, by comparing the diagnostic accuracy of TEE with that of standard endoscopy.

Patients And Methods: This was a prospective, randomized, crossover study performed in a single tertiary referral center. Read More

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http://dx.doi.org/10.1055/s-0034-1393310DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6055986PMC
February 2016
24 Reads

Eosinophilic esophagitis: A relevant entity for the otolaryngologist.

Acta Otorrinolaringol Esp 2016 May-Jun;67(3):167-78. Epub 2015 Oct 9.

Servicio de Otorrinolaringología, Hospital Universitario Puerta de Hierro-Majadahonda, Majadahonda (Madrid), España.

Eosinophilic esophagitis (EE) is a recently recognised pathologic entity whose prevalence has risen significantly since it was first described. Its diagnosis represents a challenge for different medical specialties, among which ENT specialists play an important role. Clinical suspicion in a patient with recurrent food impaction or a child with eating disorders and history of hypersensitivity constitutes the first warning sign of a possible EE. Read More

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http://dx.doi.org/10.1016/j.otorri.2015.06.002DOI Listing
August 2017
30 Reads

Evaluation of swallowing disorders by use of transnasal esophagoscopy in patients treated for head and neck cancer.

Head Neck 2016 04 2;38 Suppl 1:E1137-43. Epub 2015 Sep 2.

Department of Otolaryngology, National Taiwan University Hospital and National Taiwan University College of Medicine, Taipei, Taiwan.

Background: The purposes of this study were to identify an index of symptoms and signs of swallowing disorders that indicate the occurrence of local recurrence or second primary malignancy and to evaluate the application of transnasal esophagoscopy in patients treated for head and neck squamous cell carcinoma (HNSCC).

Methods: Patients treated for HNSCC with swallowing disorders who received transnasal esophagoscopy examinations between January 2010 and June 2014 were included in this study. Local recurrence and second primary malignancy were pathologically diagnosed. Read More

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http://doi.wiley.com/10.1002/hed.24174
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http://dx.doi.org/10.1002/hed.24174DOI Listing
April 2016
32 Reads

Analysis of Clinical Feature and Management of Fish Bone Ingestion of Upper Gastrointestinal Tract.

Clin Exp Otorhinolaryngol 2015 Sep 13;8(3):261-7. Epub 2015 Aug 13.

Department of Otorhinolaryngology, Gyeongsang National University School of Medicine, Jinju, Korea. ; Institute of Health Sciences, Gyeongsang National University School of Medicine, Jinju, Korea.

Objectives: Fish bone impaction in the upper gastrointestinal tract is a common reason for patients to seek emergent care. The aim of this study was to find a clinical characteristics of patients with fish bone impaction in the upper gastrointestinal tract.

Methods: The study was conducted on 286 fish bone ingestion patients who complained of dysphagia and irritation after eating fish. Read More

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http://dx.doi.org/10.3342/ceo.2015.8.3.261DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4553358PMC
September 2015
62 Reads

Unsedated transnasal esophagoscopy for monitoring therapy in pediatric eosinophilic esophagitis.

Gastrointest Endosc 2016 Feb 2;83(2):299-306.e1. Epub 2015 Jul 2.

Aerodigestive Program, Children's Hospital Colorado, Aurora, Colorado, USA; Department of Otolaryngology, Children's Hospital Colorado, Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, USA.

Background And Aims: Unsedated transnasal endoscopy (TNE) is safer and less costly than sedated EGD. The aim of this study was to evaluate the performance of TNE with biopsies in monitoring the esophageal mucosa of pediatric patients with eosinophilic esophagitis.

Methods: Patients between 8 and 17 years of age with eosinophilic esophagitis and their parents were enrolled. Read More

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http://dx.doi.org/10.1016/j.gie.2015.05.044DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4698253PMC
February 2016
47 Reads

Changing Patterns in Reflux Care: 10-Year Comparison of ABEA Members.

Ann Otol Rhinol Laryngol 2015 Dec 19;124(12):940-6. Epub 2015 Jun 19.

Department of Otolaryngology-Head and Neck Surgery, Johns Hopkins University, Baltimore, Maryland, USA

Objectives: To compare patterns of laryngopharyngeal reflux (LPR) diagnosis and management over time by American Broncho-Esophagological Association (ABEA) members.

Methods: American Broncho-Esophagological Association members completed an online questionnaire focused on LPR evaluation and management in 2012; responses were compared to a 2002 survey.

Results: Four hundred twenty-six members were emailed, of whom 63 (14. Read More

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http://dx.doi.org/10.1177/0003489415592407DOI Listing
December 2015
28 Reads

Secondary tracheoesophageal puncture using transnasal esophagoscopy in gastric pull-up reconstruction after total laryngopharyngoesophagectomy.

Head Neck 2016 Mar 7;38(3):E61-3. Epub 2015 Sep 7.

Department of Otolaryngology-Head and Neck Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana.

Background: There is debate about the optimal voice restoration method and technique for patients who have undergone total laryngopharyngectomy, esophagectomy, and gastric pull-up. The purpose of this study was to report a series of patients who underwent awake, secondary tracheoesophageal puncture (TEP) after this procedure.

Methods: A retrospective chart review was performed at a tertiary referral center. Read More

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http://dx.doi.org/10.1002/hed.24154DOI Listing
March 2016
14 Reads

Proposal for methods of diagnosis of fish bone foreign body in the Esophagus.

Laryngoscope 2015 Nov 11;125(11):2472-5. Epub 2015 May 11.

College of Nursing, Gyeongsang National University, Jinju, Republic of Korea.

Objective: To investigate the methods of diagnosis of fish bone foreign body in the esophagus and suggest a diagnostic protocol.

Study Design: Prospective cohort study.

Methods: A prospective study was performed on 286 patients with a history of fish bone foreign body impaction. Read More

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http://dx.doi.org/10.1002/lary.25340DOI Listing
November 2015
31 Reads

A New Trend in the Management of Esophageal Foreign Body: Transnasal Esophagoscopy.

Otolaryngol Head Neck Surg 2015 Aug 16;153(2):189-92. Epub 2015 Apr 16.

Department of Otorhinolaryngology-Head and Neck Surgery, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan Medical School, Fu-Jen Catholic University, Taipei, Taiwan

Objectives: (1) To analyze the outcomes of patients with esophageal foreign body managed by transnasal esophagoscopy. (2) To review the value of lateral neck X-ray.

Study Design: Case series with chart review. Read More

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http://dx.doi.org/10.1177/0194599815580757DOI Listing
August 2015
18 Reads