Wellenstein David J, Schutte Henrieke W, Marres Henri A M, Honings Jimmie, Belafsky Peter C, Postma Gregory N, Takes Robert P, van den Broek Guido B
Department of Otorhinolaryngology and Head and Neck Surgery, Radboud University Medical Center, Nijmegen, The Netherlands.
Center for Voice and Swallowing, Department of Otolaryngology and Head and Neck Surgery, University of California, Davis School of Medicine, Sacramento, California.
Head Neck. 2017 Sep;39(9):1910-1919. doi: 10.1002/hed.24819. Epub 2017 May 12.
Diagnostic and therapeutic office-based procedures under topical anesthesia are emerging in the daily practice of laryngologists and head and neck surgeons. Since the introduction of the transnasal esophagoscope, office-based procedures for the esophagus are increasingly performed.
We conducted a systematic review of literature on office-based procedures under topical anesthesia for the esophagus.
Transnasal esophagoscopy is an extensively investigated office-based procedure. This procedure shows better patient tolerability and equivalent accuracy compared to conventional transoral esophagoscopy, as well as time and cost savings. Secondary tracheoesophageal puncture, esophageal dilatation, esophageal sphincter injection, and foreign body removal are less investigated, but show promising results.
With the introduction of the transnasal esophagoscope, an increasing number of diagnostic and therapeutic office-based procedures for the esophagus are possible, with multiple advantages. Further investigation must prove the clinical feasibility and effectiveness of the therapeutic office-based procedures.
在局部麻醉下进行的诊断和治疗性门诊手术正在喉科医生和头颈外科医生的日常实践中兴起。自从经鼻食管镜问世以来，门诊食管手术越来越多。
我们对局部麻醉下食管门诊手术的文献进行了系统综述。
经鼻食管镜检查是一种经过广泛研究的门诊手术。与传统经口食管镜检查相比，该手术显示出更好的患者耐受性、相当的准确性，同时节省了时间和成本。二次气管食管穿刺、食管扩张、食管括约肌注射和异物取出的研究较少，但显示出有希望的结果。
随着经鼻食管镜的引入，越来越多的食管诊断和治疗性门诊手术成为可能，且具有多种优势。进一步的研究必须证明门诊治疗性手术的临床可行性和有效性。
