Pediatric Unsedated Transnasal Endoscopy.

Rajitha D Venkatesh, Kristina Leinwand, Nathalie Nguyen

Journal: Gastrointestinal endoscopy clinics of North America 2023;33(2):309-321

PMID: 36948748

Full Text on Elsevier Science View on PubMed

Abstract

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.

Address: 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. Electronic address: [email protected].; 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.; Gastrointestinal Eosinophilic Diseases Program, Section of Pediatric Gastroenterology, Hepatology and Nutrition, Children's Hospital of Colorado, Digestive Health Institute, Children's Hospital Colorado, University of Colorado School of Medicine.

DOI: 10.1016/j.giec.2022.10.006

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MeSH Terms: Humans, Child, Endoscopy, Gastrointestinal, Eosinophilic Esophagitis, Gastritis, Mouth, Endoscopy, Digestive System