title: [Transnasal esophagogastroduodenoscopy: the place in clinical practice, method of the procedure].
abstract: Improving of the endoscopic techniques and the accumulation of medical experience shouldn't only contribute to improving the quality of endoscopic manipulation, but also reduce the stress reactions of the patient before their implementation.
  
  
  OBJECTIVE
  To evaluate the effectiveness and advantages of transnasal esophagogastroduodenoscopy.
  
  
  METHODS
  Were analyzed the experience of more than 4000 transnasal esophagogastroduodenoscopy. To perform endoscopy transnasal endoscope used access Fujinon EG-530N (CPU EPX-4400). The level of situational anxiety before endoscopy was studied using the Spielberger-Hanin test in 110 patients. Were analyzed the subjective assessment of patients, as well as view endoscopists who conducted the research.
  
  
  RESULTS
  According to the results of the study the lowest level of anxiety mounted among patients who underwent endoscopy transnasal access again. According to the subjective assessment of patients, the benefits of transnasal endoscopy were: the minimum expression or complete lack of gag reflex with the introduction of the device in a study, the possibility of dialogue with the doctor during the study, the lack of negative experiences of endoscopy. Was conducted the endoscopy transnasal access doctors said endoscopists improve the quality of visualization and increase the inspection, due to good tolerability study of a patient.
  
  
  CONCLUSIONS
  Transnasal esophagogastroduodenoscopy is a promising screening method of investigation, since it is easier tolerated by patients and does not require sedation.
authors: P L
authors: PL
authors: Shcherbakov
authors: E V
authors: EV
authors: Bystrovskaia
authors: G M
authors: GM
authors: Dolgasheva
mesh_terms: D001007:Anxiety / Q000209:etiology; D016145:Endoscopy, Digestive System / Q000295:instrumentation* / Q000379:methods* / Q000523:psychology; D005767:Gastrointestinal Diseases / Q000175:diagnosis*; D006801:Humans; D009666:Nose; D017060:Patient Satisfaction