The Role of Transnasal Esophagoscopy in ENT Office: A Prospective, Multicenter Study in Korea.
- Author:
Eun Jae CHUNG
1
;
Young Soo RHO
;
Kwang Yoon JUNG
;
Jae Wook KIM
;
Seung Won LEE
Author Information
1. Department of Otolaryngology-Head and Neck Surgery, Hallym University College of Medicine, Seoul, Korea.
- Publication Type:Multicenter Study ; Original Article
- Keywords:
Transnasal esophagoscopy;
Esophagus;
Safety
- MeSH:
Deglutition Disorders;
Diverticulum, Esophageal;
Esophagoscopy*;
Esophagus;
Follow-Up Studies;
Foreign Bodies;
Gyeonggi-do;
Head and Neck Neoplasms;
Humans;
Korea;
Laryngopharyngeal Reflux;
Mass Screening;
Paralysis;
Pathology;
Prospective Studies*;
Saliva;
Tolnaftate;
Vocal Cords
- From:Clinical and Experimental Otorhinolaryngology
2014;7(2):123-125
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVES: The purpose of study was to report the current role of transnasal esophagoscopy (TNE) in Korea. METHODS: One hundred thirty-seven patients who underwent TNE at Soonchunhyang University Bucheon Hospital (n=69) and Korea University Anam Hospital (n=68) from July 2007 to February 2009 were prospectively analyzed. Laryngopharyngeal reflux disease (LPRD) patients without any response to proton-pump inhibitor (n=102), and patients with complaints that require esophagoscopy as part of their evaluation (n=35) were included in this study; investigation of metachronous lesions or routine follow-up screening of head and neck cancer patients, n=17; dysphagia, n=9; blood tinged saliva, n=4; to determine the cause of vocal fold paralysis as screening tool, n=4; suspicious esophageal foreign body, n=1. RESULTS: Fifty-three patients (38.7%) had positive findings on TNE. Positive finding ratio was highest in group of dysphagia (7 among 9 patients, 78%). Forty-two patients (41.1%) were found to have pathology (esophagitis, n=41; esophageal diverticulum, n=1) during the screening examination for LPRD. There were no significant complications in any of the patients. CONCLUSION: TNE is a high-yield diagnostic and therapeutic modality available to otolaryngologists for use on awake patients in the office setting.
