Prospective comparison of nasal versus oral insertion of a thin video endoscope in healthy volunteers.

Abstract:

BACKGROUND AND STUDY AIMS:Attempts have been made to improve patient's tolerance of upper gastrointestinal endoscopy and to decrease the need for sedation, using thinner endoscopes and a nasal introduction route. We prospectively compared the oral and nasal routes in volunteers, using a thin prototype video endoscope. METHODS:Ten healthy volunteers underwent two upper gastrointestinal endoscopies in a random order on two different days, with the procedure being carried out by a single experienced endoscopist. Parameters assessed were the tolerance of scope insertion and the assessment of the entire procedure (0-10 scale), the method of insertion preferred by the volunteers, the completeness of the examination (assessed by an independent endoscopist), and the time required for the procedure. RESULTS:In one patient, nasal insertion failed, and she was excluded from further analysis. The insertion of the scope was easier via the oral route, as reflected in a shorter examination time (mean 165 vs. 210 seconds, p = 0.017) and patients' tolerance for the scope insertion (mean score: 8 for oral vs. 4 for nasal route; p = 0.03). On the other hand, gagging occurred more frequently during oral endoscopy (6/9 vs 1/9, p = 0.05). Three of the volunteers in each case preferred the oral or the nasal route, and three were not decided, in case of a repeated endoscopy. Similarly, the overall tolerance for the procedure did not between the two groups. CONCLUSION:Thin-diameter gastroscopes seem to improve patient's tolerance. In this small study in volunteers, nasal introduction showed no overall benefit over oral introduction. Modifications of the scope to achieve better nasal passage are necessary.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Roy JF,Duforest D,Marek TA

doi

10.1055/s-2007-1005504

subject

Has Abstract

pub_date

1996-06-01 00:00:00

pages

422-4

issue

5

eissn

0013-726X

issn

1438-8812

journal_volume

28

pub_type

临床试验,杂志文章,随机对照试验
  • Efficacy of precutting endoscopic mucosal resection with full or partial circumferential incision using a snare tip for difficult colorectal lesions.

    abstract:BACKGROUND:We analyzed the efficacy of precutting endoscopic mucosal resection (EMR), which is a method of making a full or partial circumferential mucosal incision around a tumor with a snare tip for en bloc resection. METHODS:We reviewed cases from 2011 to 2018 in which precutting EMR (n = 167) and standard EMR (n =...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0956-6879

    authors: Yoshida N,Inoue K,Dohi O,Yasuda R,Hirose R,Naito Y,Murakami T,Ogiso K,Inada Y,Inagaki Y,Morinaga Y,Kishimoto M,Itoh Y

    更新日期:2019-09-01 00:00:00

  • Evaluation of bipolar radiofrequency ablation for occluded self-expandable metal stents in the bile duct: in vivo and in vitro study.

    abstract:BACKGROUND AND AIMS:Endobiliary radiofrequency ablation (RFA) has been used to treat occluded self-expandable metal stents (SEMSs). The aim of this study was to determine the characteristics of bipolar RFA in occluded SEMSs using both in vivo and in vitro models. METHODS:For the in vivo study, uncovered SEMSs were dep...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1392252

    authors: Yoon WJ,Kim YT,Daglilar ES,Mino-Kenudson M,Brugge WR

    更新日期:2015-12-01 00:00:00

  • Efficacy of total colonoscopy with a transparent cap in comparison with colonoscopy without the cap.

    abstract:BACKGROUND AND STUDY AIMS:In spite of scrupulous inspection during routine colonoscopy, small lesions behind the semilunar folds can be situated in blind spots, where they are easily overlooked. The aim of this study was to evaluate the efficacy of total colonoscopy with a transparent cap in identifying such lesions, i...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1055/s-2007-1001305

    authors: Matsushita M,Hajiro K,Okazaki K,Takakuwa H,Tominaga M

    更新日期:1998-06-01 00:00:00

  • Prospective study of the effectiveness of percutaneous transhepatic photodynamic therapy for advanced bile duct cancer and the role of intraductal ultrasonography in response assessment.

    abstract:BACKGROUND AND STUDY AIMS:We evaluated the therapeutic effects of percutaneous transhepatic photodynamic therapy (PDT) in patients with advanced bile duct cancer. The utility of intraductal ultrasonography (IDUS) for the assessment of responses and for regular follow up after PDT was also examined. METHODS:Percutaneou...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2005-861294

    authors: Shim CS,Cheon YK,Cha SW,Bhandari S,Moon JH,Cho YD,Kim YS,Lee LS,Lee MS,Kim BS

    更新日期:2005-05-01 00:00:00

  • Endoscopic subtypes of colorectal laterally spreading tumors (LSTs) and the risk of submucosal invasion: a meta-analysis.

    abstract:BACKGROUND AND STUDY AIMS:Many studies have reported on laterally spreading tumors (LSTs), but systematic reviews of the data to determine their risk of containing submucosal invasion (SMI) are lacking. We systematically screened and analyzed the available literature to provide a more solid basis for evidence-based tre...

    journal_title:Endoscopy

    pub_type: 杂志文章,meta分析

    doi:10.1055/s-0043-121144

    authors: Bogie RMM,Veldman MHJ,Snijders LARS,Winkens B,Kaltenbach T,Masclee AAM,Matsuda T,Rondagh EJA,Soetikno R,Tanaka S,Chiu HM,Sanduleanu-Dascalescu S

    更新日期:2018-03-01 00:00:00

  • Elipse, the first procedureless gastric balloon for weight loss: a prospective, observational, open-label, multicenter study.

    abstract::Background and study aims Conventional gastric balloons for weight loss require endoscopy for placement and removal. The Elipse device is swallowed, resides in the stomach for 4 months, and is then expelled. The objectives of this study were to assess the safety of Elipse and to measure its effects on weight loss, met...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1055/s-0042-119296

    authors: Machytka E,Gaur S,Chuttani R,Bojkova M,Kupka T,Buzga M,Giannakou A,Ioannis K,Mathus-Vliegen E,Levy S,Raftopoulos I

    更新日期:2017-02-01 00:00:00

  • European guidelines for quality assurance in colorectal cancer screening and diagnosis. First Edition--Communication.

    abstract::Multidisciplinary, evidence-based guidelines for quality assurance in colorectal cancer screening and diagnosis have been developed by experts in a project coordinated by the International Agency for Research on Cancer. The full guideline document covers the entire process of population-based screening. It consists of...

    journal_title:Endoscopy

    pub_type: 杂志文章,实务指引

    doi:10.1055/s-0032-1309809

    authors: Austoker J,Giordano L,Hewitson P,Villain P,International Agency for Research on Cancer.

    更新日期:2012-09-01 00:00:00

  • Role of endosonography in the surgical management of non-Hodgkin's lymphoma of the stomach.

    abstract::Ten patients with primary gastric non-Hodgkin's lymphoma (NHL) were preoperatively assessed by endoscopic ultrasonography (EUS). Tumor infiltration depth and lymph node involvement were assessed using the TNM classification system. EUS was 80% accurate in determining the TL stage and 90% in detecting lymph node metast...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010386

    authors: Schüder G,Hildebrandt U,Kreissler-Haag D,Seitz G,Feifel G

    更新日期:1993-10-01 00:00:00

  • Biliary cannulation during endoscopic retrograde cholangiopancreatography: core technique and recent innovations.

    abstract::Despite advances in imaging and device technology over the past decade, endoscopic retrograde cholangiopancreatography (ERCP) continues to be one of the most technically challenging interventions in endoscopy. The procedure remains compounded by two persistent problems: failure of successful biliary cannulation and po...

    journal_title:Endoscopy

    pub_type: 杂志文章,评审

    doi:10.1055/s-0029-1214859

    authors: Bourke MJ,Costamagna G,Freeman ML

    更新日期:2009-07-01 00:00:00

  • Endoscopic ultrasonography in the diagnosis and staging of pancreatic adenocarcinoma. Results of a prospective study with comparison to ultrasonography and CT scan.

    abstract::Endoscopic ultrasonography (EUS) was compared to ultrasonography (US) and CT scan (CT) in order to evaluate its role in the diagnosis and the locoregional spread assessment of pancreatic cancer. Sixty-four patients suspected of pancreatic cancer were studied prospectively, and the results of imaging techniques were co...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010273

    authors: Palazzo L,Roseau G,Gayet B,Vilgrain V,Belghiti J,Fékéte F,Paolaggi JA

    更新日期:1993-02-01 00:00:00

  • Risk factors for inadequate bowel preparation: a validated predictive score.

    abstract::Background and study aim Inadequate bowel cleansing negatively affects the efficiency of colonoscopy in routine clinical practice. The aim of this study was to design and validate a predictive model for inadequate bowel cleanliness. Patients and methods The model was built from 667 consecutive outpatients (development...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0043-101683

    authors: Gimeno-García AZ,Baute JL,Hernandez G,Morales D,Gonzalez-Pérez CD,Nicolás-Pérez D,Alarcon-Fernández O,Jiménez A,Hernandez-Guerra M,Romero R,Alonso I,Gonzalez Y,Adrian Z,Carrillo M,Ramos L,Quintero E

    更新日期:2017-06-01 00:00:00

  • Bleeding birth of a gallstone from a hanging papilla of Vater.

    abstract::A case of major gastrointestinal hemorrhage due to the passage of a gallstone from a 20 mm long, hanging papilla of Vater is presented. An upper digestive endoscopy revealed the stone in the very process of expulsion from the papilla into the duodenum in which fresh blood was seen. Bleeding stopped a few days afterwar...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018605

    authors: Balldin G,Cronstedt J

    更新日期:1983-01-01 00:00:00

  • Transcolonoscopic extraperitoneal cecostomy. A new therapeutic and technical proposal.

    abstract::The authors propose a new technique of decompression of the colon consisting in percutaneous cecostomy with previous extraperitonization of the cecum under colonoscopic orientation. The technique permits decompression of the entire colon through the insertion of a ceco-anal multiperforated Levine tube on withdrawing t...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018203

    authors: Ganc AJ,Netto AJ,Morrell AC,Plapler H,Ardengh JC

    更新日期:1988-11-01 00:00:00

  • Clinical features and outcomes of delayed perforation after endoscopic submucosal dissection for early gastric cancer.

    abstract::Perforation is a major complication of endoscopic submucosal dissection (ESD) for early gastric cancer (EGC). However, there have been no reports on delayed perforation after ESD for EGC. We aimed to elucidate the incidence and outcomes of delayed perforation after ESD. Clinical courses in 1159 consecutive patients wi...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0030-1255932

    authors: Hanaoka N,Uedo N,Ishihara R,Higashino K,Takeuchi Y,Inoue T,Chatani R,Hanafusa M,Tsujii Y,Kanzaki H,Kawada N,Iishi H,Tatsuta M,Tomita Y,Miyashiro I,Yano M

    更新日期:2010-12-01 00:00:00

  • Complications in and performance of double-balloon enteroscopy (DBE): results from a large prospective DBE database in Germany.

    abstract:BACKGROUND AND STUDY AIMS:Double-balloon enteroscopy (DBE) has been established as an invaluable tool for the diagnosis and treatment of small-bowel diseases. To evaluate complications, procedural data, and diagnostic yield of DBE examinations in Germany the presented database was introduced. METHODS:A prospective dat...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0030-1256249

    authors: Möschler O,May A,Müller MK,Ell C,German DBE Study Group.

    更新日期:2011-06-01 00:00:00

  • Endoscopic submucosal dissection using the "Clutch Cutter" for early esophageal squamous cell carcinoma.

    abstract:BACKGROUND AND STUDY AIMS:To reduce the risk of complications related to the use of knives in endoscopic submucosal dissection (ESD), we developed the Clutch Cutter which can grasp and incise targeted tissue using electrosurgical current, similarly to a biopsy technique. The study aim was to evaluate the efficacy and s...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-0033-1344863

    authors: Akahoshi K,Minoda Y,Komori K,Motomura Y,Kubokawa M,Otsuka Y,Hamada S,Fukuda S,Iwao R,Gibo J,Oya M,Nakamura K

    更新日期:2013-12-01 00:00:00

  • Utility of laser-cut covered self-expandable metal stents for unresectable malignant distal biliary obstruction: a single-center experience.

    abstract:BACKGROUND:Few reports have evaluated the effectiveness of laser-cut, covered, self-expandable metal stents (LC-CSEMS) for unresectable malignant distal biliary obstruction (MDBO) and whether reintervention is feasible after placement. We describe our experience with LC-CSEMS placement for unresectable MDBO. METHODS:P...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-1149-1700

    authors: Marui S,Uza N,Yamazaki H,Ota S,Nakamura T,Yoshida H,Okada H,Hirano T,Kuwada T,Sogabe Y,Tomono T,Matsumori T,Morita T,Nishikawa Y,Tsuda M,Maruno T,Shiokawa M,Kodama Y,Seno H

    更新日期:2020-08-01 00:00:00

  • Clinical impact of capsule endoscopy compared to push enteroscopy: 1-year follow-up study.

    abstract:BACKGROUND AND STUDY AIMS:The long-term outcome for patients with obscure bleeding after capsule endoscopy (CE) is still unclear. In this study, the clinical outcome was used as the gold standard to determine the sensitivity and specificity of CE and push enteroscopy (PE) in the diagnosis of small-bowel lesions in pati...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-861114

    authors: Saurin JC,Delvaux M,Vahedi K,Gaudin JL,Villarejo J,Florent C,Gay G,Ponchon T

    更新日期:2005-04-01 00:00:00

  • Familial varices of the small and large bowel.

    abstract::Two familial cases of varices confined to the small and the large bowel are reported. Both patients were diagnosed in advanced age because of recurrent intestinal bleeding. The study of the entire gastrointestinal tract revealed an unexpected wide involvement and the primary nature of the varices. Moreover, both patie...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1010283

    authors: Morini S,Caruso F,De Angelis P

    更新日期:1993-02-01 00:00:00

  • Endoscopic ultrasound guided fine needle aspiration of malignant pancreatic lesions.

    abstract:PURPOSE:To evaluate the accuracy, safety, and clinical utility of endoscopic ultrasound (EUS) guided fine needle aspiration (FNA) of pancreatic masses. METHODS:Forty-seven patients were referred for EUS with a pancreatic mass and suspicion of pancreatic cancer based upon painless obstructive jaundice, epigastric abdom...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004321

    authors: Bhutani MS,Hawes RH,Baron PL,Sanders-Cliette A,van Velse A,Osborne JF,Hoffman BJ

    更新日期:1997-11-01 00:00:00

  • Does passage of a patency capsule indicate small-bowel patency? A prospective clinical trial?

    abstract:BACKGROUND AND STUDY AIMS:At many centers wireless capsule endoscopy (WCE) without prior radiographic examination to rule out relevant strictures is considered to be contraindicated in suspected obstructive small-bowel disease. However, the accuracy of radiography in this situation has often been questioned. The purpos...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2005-870220

    authors: Boivin ML,Lochs H,Voderholzer WA

    更新日期:2005-09-01 00:00:00

  • Age-related changes in the acid-secreting area in patients with duodenal ulcer.

    abstract::The extent of, and age-related changes in, the acid-secreting area in patients with duodenal ulcer were compared with those in patients with gastric ulcer and healthy subjects. Studies were made by the endoscopic Congo red test developed in our clinic. The incidence of a large acid-secreting area was significantly hig...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021523

    authors: Tatsuta M,Okuda S

    更新日期:1983-07-01 00:00:00

  • Endoscopy-assisted emergency treatment of gastroduodenal and pancreatobiliary ascariasis.

    abstract::Five patients with gastrointestinal tract and pancreatobiliary ascariasis presenting as emergency cases are reported here. Two patients presented with hematemesis due to gastric ascariasis, one with abdominal pain due to duodenal ascariasis, and one each with biliary and pancreatic ascariasis manifesting as acute chol...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005560

    authors: Misra SP,Dwivedi M

    更新日期:1996-09-01 00:00:00

  • Gastrointestinal intramural hematoma, a complication of endoscopic injection methods for bleeding peptic ulcers: a case series.

    abstract::In a prospective study, all patients with peptic ulcer bleeding were documented between February 1984 and April 1992. A total of 227 patients were treated by local injection of epinephrine followed by laser application and injection of polidocanol or fibrin tissue adhesive. In five of these patients, intramural hemato...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1009050

    authors: Rohrer B,Schreiner J,Lehnert P,Waldner H,Heldwein W

    更新日期:1994-09-01 00:00:00

  • Hexaminolevulinate-induced fluorescence colonoscopy versus white light endoscopy for diagnosis of neoplastic lesions in the colon.

    abstract:BACKGROUND AND STUDY AIMS:To compare the rate of detection of colorectal neoplastic lesions using the selective photosensitizer precursor hexaminolevulinate (HAL) combined with a new fluorescence video endoscope system against that of standard white light endoscopy, and secondarily, to evaluate the safety profile of HA...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1243804

    authors: Mayinger B,Neumann F,Kastner C,Haider T,Schwab D

    更新日期:2010-01-01 00:00:00

  • Surveillance colonoscopy and biopsy in patients with ureterosigmoidostomy.

    abstract::Colonoscopy with biopsy was included in the surveillance of 19 patients with ureterosigmoidostomy, because of the high incidence of colonic carcinoma reported in such cases. The patients were examined 1-6 times, at intervals of 1-2 years, 4-36 years after the urinary diversion. Random biopsies from the distal colon an...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018236

    authors: Berg NO,Fredlund P,Månsson W,Olsson SA

    更新日期:1987-03-01 00:00:00

  • Gastric stump cancer: etiopathological and clinical aspects.

    abstract::Between 1959 and 1987, at the Innsbruck University Hospital, 359 cases of carcinoma were diagnosed in the gastric remnant. While until 1975 in 203 patients suffering from stump carcinoma the tumor stages T3 and T4 were significantly prevalent, a strong tendency towards the less advanced tumor stages T1 and T2 was obse...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012917

    authors: Pointner R,Schwab G,Königsrainer A,Bodner E,Schmid KW

    更新日期:1989-05-01 00:00:00

  • Risk factors for advanced lesions undetected at prior colonoscopy: not always poor preparation.

    abstract:BACKGROUND AND STUDY AIM:Colonoscopy is regarded as the gold standard for diagnosis of colonic lesions. However, adenoma miss rates in tandem colonoscopy studies vary from 2 % to 26 %. We aimed to investigate the rates of advanced neoplasia in patients with a prior normal colonoscopy in an outpatient endoscopy unit. M...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0030-1255868

    authors: Ferrández A,Navarro M,Díez M,Sopena F,Roncalés P,Polo-Tomas M,Sáinz R,Lanas A

    更新日期:2010-12-01 00:00:00

  • Higher adenoma detection rate with the endocuff: a randomized trial.

    abstract::Background and study aim Different techniques have been introduced to improve the endoscopist's view and enhance the detection of polyps. The endocuff is a polymer sleeve cap that is connected to the tip of the colonoscope in order to improve visualization of the mucosa during colonoscopy. The aim of the study was to ...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0043-117879

    authors: González-Fernández C,García-Rangel D,Aguilar-Olivos NE,Barreto-Zúñiga R,Romano-Munive AF,Grajales-Figueroa G,Zamora-Nava LE,Téllez-Avila FI

    更新日期:2017-11-01 00:00:00

  • Detection of human gastric cancer in resected specimens using a novel infrared fluorescent anti-human carcinoembryonic antigen antibody with an infrared fluorescence endoscope in vitro.

    abstract:BACKGROUND AND STUDY AIMS:An indocyanine green derivative (ICG-sulfo-OSu) that can be used as an infrared fluorescent labeling substance suitable for detecting microlesions with an infrared fluorescence endoscope has been developed. The aims of the present study were to develop an infrared fluorescence endoscope and to...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2001-17328

    authors: Ito S,Muguruma N,Kusaka Y,Tadatsu M,Inayama K,Musashi Y,Yano M,Bando T,Honda H,Shimizu I,Ii K,Takesako K,Takeuchi H,Shibamura S

    更新日期:2001-10-01 00:00:00