Saeian Kia
Division of Gastroenterology and Hepatology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Curr Gastroenterol Rep. 2002 Jun;4(3):213-7. doi: 10.1007/s11894-002-0065-4.
Upper endoscopy is an integral component in the management of upper gastrointestinal disorders, but it is underutilized because of its high cost and potential complications. Unsedated transnasal endoscopy (T-EGD) is a relatively new technique using an ultrathin endoscope. Because it is better tolerated than standard upper endoscopy, it is performed with the patient unsedated, thus avoiding the associated costs and complications of conscious sedation. In this review, the technique of T-EGD and its current experience are discussed. In addition, potential future applications, special considerations, and potential pitfalls are reviewed.
上消化道内镜检查是上消化道疾病管理的一个重要组成部分，但由于其成本高昂和潜在并发症，其应用未得到充分利用。非镇静经鼻内镜检查（T-EGD）是一种使用超薄内镜的相对新技术。由于它比标准上消化道内镜检查耐受性更好，因此在患者未使用镇静剂的情况下进行，从而避免了清醒镇静的相关成本和并发症。在本综述中，讨论了T-EGD技术及其当前经验。此外，还回顾了其潜在的未来应用、特殊注意事项和潜在陷阱。
