title: 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.
authors.affiliation: Aneurin Bevan University Health Board , UK.
authors.forename: L N
authors.initials: LN
authors.lastname: Sanyaolu
authors.affiliation: Aneurin Bevan University Health Board , UK.
authors.forename: A
authors.initials: A
authors.lastname: Jemah
authors.affiliation: Aneurin Bevan University Health Board , UK.
authors.forename: B
authors.initials: B
authors.lastname: Stew
authors.affiliation: Aneurin Bevan University Health Board , UK.
authors.forename: D R
authors.initials: DR
authors.lastname: Ingrams
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003680:Deglutition Disorders / Q000175:diagnosis* / Q000503:physiopathology; D019468:Disease Management; D018450:Disease Progression; D004945:Esophagoscopy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009666:Nose; D015203:Reproducibility of Results; D012189:Retrospective Studies
keywords: Deglutition disorders; Endoscopy; Follow-up studies; Oesophagoscopy; Retrospective studies