Crews Nicholas R, Gorospe Emmanuel C, Johnson Michele L, Wong Kee Song Louis-Michel, Katzka David A, Iyer Prasad G
Division of Internal Medicine, Mayo Clinic, Rochester, MN, USA.
Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
Endosc Int Open. 2017 May;5(5):E340-E344. doi: 10.1055/s-0042-122008.
Unsedated transnasal esophagoscopy (TNE) may offer a less expensive, mobile alternative to sedated esophagogastroduodenoscopy (EGD) for evaluations of reflux related complications. Comparisons of imaging quality by these methods are lacking. Two reviewers evaluated videos of TNE and EGD procedures, performed during a community randomized study comparing endoscopic techniques. Subjects were randomized to EGD, TNE in endoscopy suite, or TNE in mobile research unit. Endoscopic quality was assessed using a validated scoring tool. In total, 115 videos (58 EGD, 28 endoscopy suite TNE, and 29 mobile TNE) were reviewed. Overall quality scores for TNE and EGD were excellent without a statistically significant difference ( = 0.30). There were no differences in gastroesophageal junction (GEJ) visualization scores, though EGD scored higher in esophageal passage ( < 0.05) and TNE scored higher in esophageal intubation ( < 0.05). There was no significant difference in any quality score between mobile TNE and gastrointestinal suite TNE. Esophageal assessment with TNE or EGD was comparable in overall quality and GEJ visualization. TNE quality was not affected by procedure location. TNE is a feasible option for endoscopic assessment of reflux complications.
对于反流相关并发症的评估，非镇静经鼻食管镜检查（TNE）可能是一种比镇静食管胃十二指肠镜检查（EGD）成本更低且便于移动的替代方法。目前缺乏对这两种方法成像质量的比较。两名评审员评估了在一项比较内镜技术的社区随机研究中进行的TNE和EGD操作的视频。受试者被随机分配接受EGD、在内镜检查室进行TNE或在移动研究单元进行TNE。使用经过验证的评分工具评估内镜质量。总共审查了115个视频（58个EGD、28个内镜检查室TNE和29个移动TNE）。TNE和EGD的总体质量评分均为优秀，无统计学显著差异（=0.30）。胃食管交界处（GEJ）可视化评分无差异，不过EGD在食管段评分更高（<0.05），TNE在食管插管评分更高（<0.05）。移动TNE和胃肠检查室TNE之间的任何质量评分均无显著差异。用TNE或EGD进行食管评估在总体质量和GEJ可视化方面具有可比性。TNE质量不受操作地点的影响。TNE是内镜评估反流并发症的一种可行选择。
