The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective Study
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 otolary...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Otorhinolaryngology-Head and Neck Surgery
2016-12-01
|
| Series: | Clinical and Experimental Otorhinolaryngology |
| Subjects: | |
| Online Access: | http://www.e-ceo.org/upload/pdf/ceo-2015-01935.pdf |
| _version_ | 1818024503660249088 |
|---|---|
| author | Bahtiyar Polat Serdar Karahatay Hakan Birkent Mustafa Gerek |
| author_facet | Bahtiyar Polat Serdar Karahatay Hakan Birkent Mustafa Gerek |
| author_sort | Bahtiyar Polat |
| collection | DOAJ |
| description | 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. Methods The study group consisted of 314 patients who were admitted to the swallowing center of a tertiary medical institution with the symptoms of dysphagia and globus sensation. In addition to other diagnostic procedures, patients were informed of the TNE and the necessary consents were obtained. Before the examination, patients were asked to foresee the level of discomfort they would presumably feel, according to the information they had. After the TNE, patients were asked to score the real level of discomfort they experienced during the test. A visual analog scale was used to note the levels. The duration of the tests and any complications were also noted. Results We could not perform TNE in 12 of the 314 patients due to nasal obstruction, intractable retching and vasovagal syncope (7, 4, and 1 patients, respectively). The average discomfort score foreseen before the test was 4.7±1.4 (mean±standard deviation). The post-procedure discomfort score was 1.6±1.1, and the difference was statistically significant (P<0.001). The average time to perform the TNE was 5 minutes (range, 3 to 13 minutes). Except for minor epistaxis in 7 patients (2%), no complications occurred. Conclusion According to our results, TNE is an easy and well-tolerated procedure, it may be logical to tell the patient that the procedure will be less annoying and irritating than they assume. It is also a time saving procedure with low complication rates. |
| first_indexed | 2024-12-10T04:01:15Z |
| format | Article |
| id | doaj.art-818170c03c0949b28319b22877311bf6 |
| institution | Directory Open Access Journal |
| issn | 1976-8710 2005-0720 |
| language | English |
| last_indexed | 2024-12-10T04:01:15Z |
| publishDate | 2016-12-01 |
| publisher | Korean Society of Otorhinolaryngology-Head and Neck Surgery |
| record_format | Article |
| series | Clinical and Experimental Otorhinolaryngology |
| spelling | doaj.art-818170c03c0949b28319b22877311bf62022-12-22T02:02:58ZengKorean Society of Otorhinolaryngology-Head and Neck SurgeryClinical and Experimental Otorhinolaryngology1976-87102005-07202016-12-019436636910.21053/ceo.2015.01935480The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective StudyBahtiyar Polat0Serdar Karahatay1Hakan Birkent2Mustafa Gerek3 Department of Otorhinolaryngology, Head and Neck Surgery, Gelibolu Military Hospital, Gelibolu, Turkey Department of Otorhinolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey Department of Otorhinolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, Turkey Department of Otorhinolaryngology, Head and Neck Surgery, Gulhane Military Medical Academy, Ankara, TurkeyObjectives 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. Methods The study group consisted of 314 patients who were admitted to the swallowing center of a tertiary medical institution with the symptoms of dysphagia and globus sensation. In addition to other diagnostic procedures, patients were informed of the TNE and the necessary consents were obtained. Before the examination, patients were asked to foresee the level of discomfort they would presumably feel, according to the information they had. After the TNE, patients were asked to score the real level of discomfort they experienced during the test. A visual analog scale was used to note the levels. The duration of the tests and any complications were also noted. Results We could not perform TNE in 12 of the 314 patients due to nasal obstruction, intractable retching and vasovagal syncope (7, 4, and 1 patients, respectively). The average discomfort score foreseen before the test was 4.7±1.4 (mean±standard deviation). The post-procedure discomfort score was 1.6±1.1, and the difference was statistically significant (P<0.001). The average time to perform the TNE was 5 minutes (range, 3 to 13 minutes). Except for minor epistaxis in 7 patients (2%), no complications occurred. Conclusion According to our results, TNE is an easy and well-tolerated procedure, it may be logical to tell the patient that the procedure will be less annoying and irritating than they assume. It is also a time saving procedure with low complication rates.http://www.e-ceo.org/upload/pdf/ceo-2015-01935.pdfEsophagoscopyDysphagiaDeglutition Disorders |
| spellingShingle | Bahtiyar Polat Serdar Karahatay Hakan Birkent Mustafa Gerek The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective Study Clinical and Experimental Otorhinolaryngology Esophagoscopy Dysphagia Deglutition Disorders |
| title | The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective Study |
| title_full | The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective Study |
| title_fullStr | The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective Study |
| title_full_unstemmed | The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective Study |
| title_short | The Practicability of Transnasal Esophagoscopy and the Evaluation of Patient’s Perception: A Prospective Study |
| title_sort | practicability of transnasal esophagoscopy and the evaluation of patient s perception a prospective study |
| topic | Esophagoscopy Dysphagia Deglutition Disorders |
| url | http://www.e-ceo.org/upload/pdf/ceo-2015-01935.pdf |
| work_keys_str_mv | AT bahtiyarpolat thepracticabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy AT serdarkarahatay thepracticabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy AT hakanbirkent thepracticabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy AT mustafagerek thepracticabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy AT bahtiyarpolat practicabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy AT serdarkarahatay practicabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy AT hakanbirkent practicabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy AT mustafagerek practicabilityoftransnasalesophagoscopyandtheevaluationofpatientsperceptionaprospectivestudy |