Office-based procedures for diagnosis and treatment of esophageal pathology

David J. Wellenstein, Henrieke W. Schutte, Henri A.M. Marres, Jimmie Honings, Peter C. Belafsky, Gregory N. Postma, Robert P. Takes, Guido B. van den Broek

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

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. Results: Transnasal esophagoscopy is an extensively investigated office-based procedure. This procedure shows better patient tolerability and equivalent accuracy compared to conventional transoral esophagoscopy, as well as time and cost savings. Secondary tracheoesophageal puncture, esophageal dilatation, esophageal sphincter injection, and foreign body removal are less investigated, but show promising results. Discussion: With the introduction of the transnasal esophagoscope, an increasing number of diagnostic and therapeutic office-based procedures for the esophagus are possible, with multiple advantages. Further investigation must prove the clinical feasibility and effectiveness of the therapeutic office-based procedures.

Original languageEnglish (US)
Pages (from-to)1910-1919
Number of pages10
JournalHead and Neck
Volume39
Issue number9
DOIs
StatePublished - Sep 2017

Keywords

  • esophagus
  • head and neck oncology
  • local anesthesia
  • office-based procedure
  • transnasal esophagoscopy

ASJC Scopus subject areas

  • Otorhinolaryngology

Fingerprint Dive into the research topics of 'Office-based procedures for diagnosis and treatment of esophageal pathology'. Together they form a unique fingerprint.

  • Cite this

    Wellenstein, D. J., Schutte, H. W., Marres, H. A. M., Honings, J., Belafsky, P. C., Postma, G. N., Takes, R. P., & van den Broek, G. B. (2017). Office-based procedures for diagnosis and treatment of esophageal pathology. Head and Neck, 39(9), 1910-1919. https://doi.org/10.1002/hed.24819