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- W2978108664 abstract "Purpose: To learn the demographics, indications, success/failure rates, and physician and patient satisfaction for transnasal esophagogastroduodenoscopy (TN-EGD) in an office setting, and to evaluate the efficacy of the procedure by measuring cardiovascular and respiratory parameters amongst the general and the elderly population (age > 65yrs). Methods: We reviewed office e-charts from 1st January, 2009, to 31st December, 2009. Variables considered were age, gender, prior EGD, indications for TN-EGD, type of anesthesia used, monitoring parameters (systolic blood pressure [SBP], diastolic blood pressure [DBP], heart rate [HR], oxygen saturation [O2]), time taken for procedure and anesthesia, physician and patient evaluation, complications, success/failure rates, EGD diagnosis and histopathological diagnosis. Pentax EG1508K (distal tip diameter 5.5 mm) and Fuji EG530N (distal tip diameter 5.9 mm) scopes were used. Results: A total of 853 charts were reviewed, with 158 pts undergoing TNEGD. The mean age was 58 yrs (STD ±14), with 49% males. The indications for TN-EGD were: GERD (60%), Dyspepsia (24%), Abdominal pain (32%), Chest pain (10%), Dysphagia (8%), Surveillance of Barrett's esophagus (7%), Evaluation of upper GI symptoms s/p gastric bypass (6%), and less than 5% for GI bleed, peptic ulcer disease, esophageal or gastric cancer and esophageal varices. Anesthesia used was local xylocaine viscous in the nasal passage and xylocaine spray at the back of the mouth. Fuji scope was used in 58% of pts. Procedure lasted for an average of 8 min (STD ±2, N=60), with anesthesia lasting for an average of 28 min (STD ±7, N=36). There was no statistically significant difference between pre-procedure, at start, middle and end of procedure, and post procedure measurements of SBP, DBP, HR and O2 (p<0.05) among the general and the elderly population in separate analysis. 33% of the population had had prior EGD (N=34), with only 10% undergoing TN-EGD. There were no complications of epistaxis, gagging or choking reported. There was 100% success rate for the procedure. High degree of satisfaction was reported by physician and patients for the procedure. Endoscopic diagnosis correlated 95% with histopathological diagnosis. Conclusion: TN-EGD is well tolerated under local anesthesia amongst the elderly population, with no adverse changes in cardiovascular and respiratory parameters. TN-EGD is highly satisfying, quick, and an excellent alternative for evaluation of upper GI symptoms in an office setting, especially for elderly population without using sedation." @default.
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- W2978108664 date "2011-10-01" @default.
- W2978108664 modified "2023-10-18" @default.
- W2978108664 title "Transnasal Esophagogastroduodenoscopy: An Acceptable Alternative for Elderly" @default.
- W2978108664 doi "https://doi.org/10.14309/00000434-201110002-01352" @default.
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