Document Detail


Role of ultrathin transnasal esophagogastroduodenoscopy: experience with 50 patients.
MedLine Citation:
PMID:  20047106     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Conventional gastroscopes have a diameter of 8.8-12 mm; ultrathin endoscopes have an outer diameter of 5.3-5.9 mm. We share our experience with 50 patients who underwent transnasal esophagogastroduodenoscopy using an ultrathin endoscope. The indications included endoscopyassisted nasogastric tube placement in 25 patients, tight lesions not negotiable with conventional endoscope in 9, restricted mouth opening in 9, corrosive injury in 3, restricted cervical spine movement in 2 and altered sensorium following cerebrovascular accident in 2 patients. Transnasal esophageal intubation failed in 1 patient each with oropharyngeal malignancy and lipoma annularis coli. Wire-guided naso-jejunal tube placement was done in 2 patients and transnasal percutaneous endoscopic gastrostomy was done in 1 patient. Two patients developed self-limiting epistaxis. Ultrathin transnasal esophagogastroduodenoscope is a useful tool in endoscopy units, particularly those dealing with oncology patients. Inability to deliver endotherapy due to small diameter of the working channel is a limitation.
Authors:
Avnish Kumar Seth; Pankaj Puri; Alok Chandra
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2010-1-4
Journal Detail:
Title:  Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology     Volume:  -     ISSN:  -     ISO Abbreviation:  Indian J Gastroenterol     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2010-1-21     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8409436     Medline TA:  Indian J Gastroenterol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Gastroenterology, Army Hospital (Research & Referral), Dhaula Kuan, New Delhi, 110 010, India, akseth2003@yahoo.com.
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