Division of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, 700 Childrens Drive, Columbus, OH 43205, USA; Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA.
Section of Pediatric Gastroenterology, Hepatology and Nutrition, Northwest Permanente, Portland, OR, USA; Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Doernbecher Children's Hospital at Oregon Health and Science University, Portland, OR, USA.
Gastrointest Endosc Clin N Am. 2023 Apr;33(2):309-321. doi: 10.1016/j.giec.2022.10.006.
Unsedated transnasal endoscopy (TNE) is a feasible, safe, and cost-effective procedure for pediatric patients. TNE provides direct visualization of the esophagus and enables acquisition of biopsy samples while eliminating the risks associated with sedation and anesthesia. TNE should be considered in the evaluation and monitoring of disorders of the upper gastrointestinal tract, particularly in diseases such as eosinophilic esophagitis that often require repeated endoscopy. Setting up a TNE program requires a thorough business plan as well as training of staff and endoscopists.
清醒经鼻内镜检查（TNE）是一种可行、安全且具有成本效益的儿科患者检查方法。TNE 可直接观察食管，并可获取活检样本，同时消除镇静和麻醉相关的风险。TNE 应考虑用于上消化道疾病的评估和监测，特别是在需要反复内镜检查的疾病，如嗜酸性食管炎。建立 TNE 计划需要一个全面的商业计划，以及对工作人员和内镜医生的培训。
