Orvosi hetilap · 2002
[Transnasal esophagogastroduodenoscopy?].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Taller András, Horváth Emilia, Iliás Lajos, Harsányi László
Аннотация
INTRODUCTION: The most proper examination for the morphological changes of the upper gastrointestinal tract is endoscopy. The standard oro-gastric route is carried out under conscious sedation, but the drugs used might have cardiopulmonary side effects. Furthermore there are a few conditions when this routine endoscopy is technically impossible.
AIMS: Could these failures be avoided with an endoscope led through the nose? Are there advantages of the use of ultrathin endoscopes for transnasal oesophago-gastro-duodenoscopy?
PATIENTS/METHODS: Own experiences with transnasal therapeutic endoscopies on patients with cancer in the head and neck region compared with data from the literature.
RESULTS: Based on literature and on own experiences, transnasal oesophago-gastro-duodenoscopy may be advised in cases with trismus, stenosis of the upper aero-digestive tract, oropharyngeal dysphagia, cricopharyngeal achalasia, in several neurosurgical conditions and on severely ill ventilated patients. I.v. premedication is not always necessary for transnasal oesophago-gastro-duodenoscopy done with ultrathin endoscopes.
CONCLUSIONS: The oesophagus might be accessed also via the nose, but it must be emphasized that transnasal oesophago-gastro-duodenoscopy is only advised when the standard way of upper gastrointestinal tract endoscopy is impossible.
AIMS: Could these failures be avoided with an endoscope led through the nose? Are there advantages of the use of ultrathin endoscopes for transnasal oesophago-gastro-duodenoscopy?
PATIENTS/METHODS: Own experiences with transnasal therapeutic endoscopies on patients with cancer in the head and neck region compared with data from the literature.
RESULTS: Based on literature and on own experiences, transnasal oesophago-gastro-duodenoscopy may be advised in cases with trismus, stenosis of the upper aero-digestive tract, oropharyngeal dysphagia, cricopharyngeal achalasia, in several neurosurgical conditions and on severely ill ventilated patients. I.v. premedication is not always necessary for transnasal oesophago-gastro-duodenoscopy done with ultrathin endoscopes.
CONCLUSIONS: The oesophagus might be accessed also via the nose, but it must be emphasized that transnasal oesophago-gastro-duodenoscopy is only advised when the standard way of upper gastrointestinal tract endoscopy is impossible.