Korean J Helicobacter Up Gastrointest Res.
2014 Dec;14(4):255-260. 10.7704/kjhugr.2014.14.4.255.
Evaluation of Transnasal Esophagogastroduodenoscopy as a Surveillance Endoscopy in a General Medical Checkup
- Affiliations
-
- 1Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
- 2Department of Medical Immunology Center, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
- 3Department of Internal Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea. syko406@naver.com
- 4Department of Anesthesiology and Pain Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.
- 5Department of Pediatrics, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.
- KMID: 2305128
- DOI: http://doi.org/10.7704/kjhugr.2014.14.4.255
Abstract
- BACKGROUND/AIMS
Transnasal esophagogastroduodenoscopy (T-EGD) has been reported to be well tolerated and is known to reduce patient discomfort that occurs with conventional EGD (C-EGD) performed via an oral route. We aimed to evaluate factors that influence preferences for T-EGD as a surveillance EGD in a general medical checkup.
MATERIALS AND METHODS
A total of 658 subjects (median age, 49 years; 45% men) underwent T-EGD procedures by 8 endoscopists using a 5.2-mm diameter endoscope. All examinees and endoscopists were asked to assess the T-EGD examinations using the post-endoscopy questionnaire. The post-endoscopy questionnaire included a 10-point visual analogue scale, which asked the patient to place a cross on the line according to examinee's or endoscopist's experience of the endoscopy procedure. Zero represented the worst experience and 10 the best experience.
RESULTS
T-EGD was feasible in 96.6% of the subjects. Younger age (<35 years) and female sex were significant predictive factors for failure of the procedure. Older age (> or =35 years) or male examines preferred T-EGD as the modality for the next examination. The endoscopist's overall discomfort level was higher in the beginner group than in the expert group.
CONCLUSIONS
The T-EGD may be better tolerated than C-EGD and offers a more comfortable surveillance endoscopic procedure to older (> or =35 years), male, or sedated C-EGD-experienced examinees in a general medical checkup. More experience with and education about T-EGD may help to improve the tolerance of the beginner group of endoscopists.
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