The role of transnasal oesophagoscopy in the management of globus pharyngeus and non-progressive dysphagia.

Abstract:

:Introduction Transnasal oesophagoscopy is a relatively new method of examining the upper aerodigestive tract via the nasal passage as an outpatient procedure without the need for sedation. It has been shown to be a well tolerated, safe and accurate technique, that can therefore be used in the investigation of patients thought to have globus pharyngeus and other non sinister causes of dysphagia. Methods A total of 150 consecutive patients undergoing transnasal oesophagoscopy were analysed retrospectively. Results The main indications for this procedure were non-progressive dysphagia (n=68, 45%) and globus pharyngeus (n=60, 40%). Transnasal oesophagoscopy was normal in 65% of patients and 42% of patients were discharged from clinic at the same appointment with no further investigation. The most common positive findings were laryngeal erythema (13%) and oesophagitis (10%). Conclusions Transnasal oesophagoscopy is a useful adjunct to the management of patients with the symptoms of globus pharyngeus and non-progressive dysphagia.

journal_name

Ann R Coll Surg Engl

authors

Sanyaolu LN,Jemah A,Stew B,Ingrams DR

doi

10.1308/rcsann.2015.0052

subject

Has Abstract

pub_date

2016-01-01 00:00:00

pages

49-52

issue

1

eissn

0035-8843

issn

1478-7083

journal_volume

98

pub_type

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