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Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy

The safety, efficacy, and economic implications of using transnasal oesophagoscopy (TNE) are compared with conventional rigid or flexible oesophagoscopy for oesophageal disorders in otorhinolaryngology (ORL) clinics in this systematic review. Eleven electronic databases were searched for articles on...

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Autores principales: Sabirin, Junainah, Abd Rahman, Maharita, Rajan, Philip
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3747410/
https://www.ncbi.nlm.nih.gov/pubmed/23984101
http://dx.doi.org/10.1155/2013/586973
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author Sabirin, Junainah
Abd Rahman, Maharita
Rajan, Philip
author_facet Sabirin, Junainah
Abd Rahman, Maharita
Rajan, Philip
author_sort Sabirin, Junainah
collection PubMed
description The safety, efficacy, and economic implications of using transnasal oesophagoscopy (TNE) are compared with conventional rigid or flexible oesophagoscopy for oesophageal disorders in otorhinolaryngology (ORL) clinics in this systematic review. Eleven electronic databases were searched for articles on transnasal oesophagoscopy. A total of 67 relevant titles were identified and 39 abstracts were screened of which 17 full- text articles were included in this report. There was fair level of evidence to suggest that TNE was effective for screening examination in patients with dysphagia, globus pharyngeus, and reflux symptoms and for detection of metachronous oesophageal carcinoma. TNE can also be used to biopsy suspicious lesions in the upper aerodigestive tract, placement of wireless pH capsule, transnasal balloon dilation of the oesophagus, secondary tracheoesophageal puncture, and management of foreign bodies. TNE was well tolerated and can be safely performed in an office setting with topical anaesthesia. Complications associated with TNE were mild and uncommon. There was evidence to suggest potential cost savings by performing TNE in the office setting compared with conventional investigation and examination for dysphagia. TNE may lead to a change in practice from investigation and treatment in the operating theatre or day care center to an office-based practice.
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spelling pubmed-37474102013-08-27 Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy Sabirin, Junainah Abd Rahman, Maharita Rajan, Philip ISRN Otolaryngol Review Article The safety, efficacy, and economic implications of using transnasal oesophagoscopy (TNE) are compared with conventional rigid or flexible oesophagoscopy for oesophageal disorders in otorhinolaryngology (ORL) clinics in this systematic review. Eleven electronic databases were searched for articles on transnasal oesophagoscopy. A total of 67 relevant titles were identified and 39 abstracts were screened of which 17 full- text articles were included in this report. There was fair level of evidence to suggest that TNE was effective for screening examination in patients with dysphagia, globus pharyngeus, and reflux symptoms and for detection of metachronous oesophageal carcinoma. TNE can also be used to biopsy suspicious lesions in the upper aerodigestive tract, placement of wireless pH capsule, transnasal balloon dilation of the oesophagus, secondary tracheoesophageal puncture, and management of foreign bodies. TNE was well tolerated and can be safely performed in an office setting with topical anaesthesia. Complications associated with TNE were mild and uncommon. There was evidence to suggest potential cost savings by performing TNE in the office setting compared with conventional investigation and examination for dysphagia. TNE may lead to a change in practice from investigation and treatment in the operating theatre or day care center to an office-based practice. Hindawi Publishing Corporation 2013-08-01 /pmc/articles/PMC3747410/ /pubmed/23984101 http://dx.doi.org/10.1155/2013/586973 Text en Copyright © 2013 Junainah Sabirin et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Sabirin, Junainah
Abd Rahman, Maharita
Rajan, Philip
Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy
title Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy
title_full Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy
title_fullStr Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy
title_full_unstemmed Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy
title_short Changing Trends in Oesophageal Endoscopy: A Systematic Review of Transnasal Oesophagoscopy
title_sort changing trends in oesophageal endoscopy: a systematic review of transnasal oesophagoscopy
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3747410/
https://www.ncbi.nlm.nih.gov/pubmed/23984101
http://dx.doi.org/10.1155/2013/586973
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