Transnasal esophagoscopy: Revisited (over 700 consecutive cases)

Gregory N. Postma, Jacob T. Cohen, Peter C. Belafsky, Stacey L. Halum, Sumeer K. Gupta, Kevin K. Bach, Jamie A. Koufman

Research output: Contribution to journalReview article

81 Scopus citations

Abstract

Background: High-resolution transnasal esophagoscopy (TNE) allows comprehensive, in-office examination of the esophagus without sedation. Objective: To compare the authors' present experience using TNE with our initial, previously reported experience. Methodology: Retrospective review of 611 consecutive patients undergoing TNE was compared with 100 consecutive patients previously reported. Results: The most frequent indications for TNE were screening examination of the esophagus in reflux, globus, or dysphagia patients (n = 490), biopsy of a lesion in the laryngopharynx, trachea, or esophagus (n = 42), screening examination of the esophagus in head and neck cancer patients (n = 45), and evaluation for an esophageal foreign body (n = 12). Seventeen procedures were aborted secondary to a tight nasal vault. Significant findings were found in 50% (294/592). The most frequent findings were esophagitis (n = 98), hiatal hernia (n = 47), and Barrett's esophagus (n = 27). These results are similar to those previously reported. Conclusions: TNE is safe, well tolerated by patients, and is easy to learn with a short learning curve. TNE may replace radiographic imaging of the esophagus in otolaryngology patients with reflux, globus, and dysphagia.

Original languageEnglish (US)
Pages (from-to)321-323
Number of pages3
JournalLaryngoscope
Volume115
Issue number2
DOIs
Publication statusPublished - Feb 1 2005
Externally publishedYes

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Keywords

  • Barrett's esophagus
  • Endoscopy
  • Esophageal stricture
  • Esophagoscopy
  • Esophagus
  • Foreign body
  • Gastroesophageal reflux
  • Hiatal hernia
  • Laryngopharyngeal reflux
  • Reflux

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

Postma, G. N., Cohen, J. T., Belafsky, P. C., Halum, S. L., Gupta, S. K., Bach, K. K., & Koufman, J. A. (2005). Transnasal esophagoscopy: Revisited (over 700 consecutive cases). Laryngoscope, 115(2), 321-323. https://doi.org/10.1097/01.mlg.0000154741.25443.fe