Skip to main content Skip to main navigation menu Skip to site footer

Transnasal Esophagoscopy (TNE) procedure in the outpatient clinic at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia

  • Muhammad Qodri Anantomo ,
  • Rizka Fathoni Perdana ,

Abstract

Link of Video Abstract: https://youtu.be/nk1qtXzfl7I

 

Background: Transnasal esophagoscopy (TNE) is a small-caliber flexible esophagoscopy technique with the same diagnostic accuracy as conventional esophagoscopy. In addition, this technique is safer than any other technique and has patient tolerance. This study aims to analyze and evaluate the TNE procedure in patients.

Methods: a retrospective approach was used in this study by taking data from the activity register of the broncho-eschatology division of the outpatient unit of ORL-HNS Dr. Soetomo General Academic Hospital. TNE report book and patient medical records were collected to have the data. The observation period was from 2013 to 2017. Data were analyzed using SPSS version 25.0 for Windows.

Results: patients met the inclusion and exclusion criteria were 99 patients, with a male-to-female ratio of 2.3: 1. Most endoscopic findings were normal esophagus (56.57%). Existing abnormal findings included esophageal stenosis (18.18%), esophageal mucosal lesions (14.14%), and esophageal tumors (11.11%). TNE examination complications were found to be 1%.

Conclusion: TNE is widely used in patients aged 51-60, with dysphagia, reflux or Globus as the most common indications. TNE is quite safe to do in an outpatient hospital setting.

References

  1. Sombuntham P, Rawangban W. Unsedated transnasal esophagoscopy: a sensitive and safe outpatient screening tool. Asian Biomed. 2015;9(4):491–494.
  2. Su YY, Fang FM, Chuang HC, Luo SD, Chien CY. Detection of metachronous esophageal squamous carcinoma in patients with head and neck cancer with use of transnasal esophagoscopy. Wiley Periodical Head Neck. 2010;32(6):780–785.
  3. Perdana RF. Transnasal esophagoscopy examination in outpatient unit, department of otorhinolaryngology head and neck surgery, Dr. Soetomo Hospital Surabaya. Folia Medica Indonesia. 2020;56(1):75-81.
  4. Sabirin J, Abd Rahman M, Rajan P. Changing trends in oesophageal endoscopy: a systematic review of transnasal esophagoscopy. ISRN Otolaryngol. 2013;2013:586973
  5. Kuhn MA, Belafsky PC. Functional assessment of swallowing. In: Johnson JT, Rosen CA, Newlands S, Amin M, Branstetter B, Casselbrant M, et al., editors. Bailey’s head and neck surgery otolaryngology. 5th Edition. Philadelphia: Lippincott Williams & Wilkins; 2014:825–837.
  6. Bush CM, Postma GN. Transnasal esophagoscopy. Clin Otolaryngol. 2013;46(1):41-52
  7. Cheda N, Postma GN. Transnasal esophagoscopy. In: Flint P, Haughey B, Lund V, Niparko J, Richardson M, Robbins K, et al., editors. otolaryngology head and neck surgery. 5th Edition. Philadelphia: Mosby Inc; 2010:981–985.
  8. Rocke J, Ahmed S. Transnasal esophagoscopy our experience. Int Arch Otorhinolaryngol. 2019;23(1):7–11.
  9. Chung EJ, Rho YS, Jung KY, Kim JW, Lee SW. The role of transnasal esophagoscopy in ENT office: a prospective, multicenter study in Korea. Clin Exp Otorhinolaryngol. 2014;7(2):123–125.
  10. Abou-Nader L, Wilson JA, Paleri V. Transnasal oesophagoscopy: diagnostic and management outcomes in a prospective cohort of 257 consecutive cases and practice implications. Clin Otolaryngol. 2014;39(2):108–113.
  11. Belafsky PC, Postma GN, Daniel E, Koufman JA. Transnasal esophagoscopy. Otolaryngol Head Neck Surg. 2001;125(6):588–589.
  12. Hoy M, Domer A, Plowman EK, Loch R, Belafsky P. Causes of dysphagia in a tertiary care swallowing center. Annals of Otology, Rhinology and Laryngology. 2013;122(5):335–358.
  13. Kristiana T, Widajanti N, Satyawati R. Association between muscle mass and muscle strength with physical performance in elderly in Surabaya. Surabaya Physical Medicine and Rehabilitation Journal. 2020;2(1):24-34.
  14. Perdana RF. Management of two case of tracheobronchial management of two cases of tracheobronchial papillomatosis at tertiary hospital in indonesia. Int Journal of Surgery Case Report. 2021;83(1):1-5
  15. Sura L, Madhavan A, Carnaby G, Crary MA. Dysphagia in the eldery management and nutritional considerations. Clin Interv Aging. 2012;7:287–298.
  16. Dolan RW, Anderson TD. Practical applications of in-office fiberoptic transnasal esophagoscopy in the initial evaluation of patients with squamous cell cancer of the head and neck. Ear, Nose Throat J. 2013;92(9):450–455.
  17. Belanny DD, Perdana RF. Case report of fatal deep neck abscess: a complication of aerodigestive foreign bodies. The New Armenian Journal. 2022;16(2):66-75.
  18. Shih CW, Hao CY, Wang YJ, Hao SP. A New Trend in the Management of Esophageal Foreign Body: Transnasal Esophagoscopy. Otolaryngol Head Neck Surg (United States). 2015;153(2):189-192.
  19. Bennett AMD, Sharma A, Price T, Montgomery PQ. The management of foreign bodies in the pharynx and oesophagus using transnasal flexible laryngo-oesophagoscopy. Ann R Coll Surg Engl. 2008;90(1):13–16.
  20. Shariff MK, Bird-Lieberman EL, O’Donovan M, Abdullahi Z, Liu X, Blazeby J, et al. Randomized crossover study comparing efficacy of transnasal endoscopy with that of standard endoscopy to detect Barrett’s esophagus. Gastrointest Endosc. 2012;75(5):954–961.
  21. Dewi MMW, Herawati S, Mulyantari NK, Prabawa IPY. The comparison of erythrocyte sedimentation rate (ESR) modify Westergren Caretium Xc-A30 and Westergren Manual in Clinical Pathology Laboratory, Sanglah General Hospital, Denpasar, Bali. Bali Medical Journal. 2019;8(2):487-490.
  22. Fakhri YH. Functional heartburn in Iranian patients with non-erosive gastroesophageal reflux disease. Bali Medical Journal. 2018;7(1):161–164.
  23. Postma GN, Cohen JT, Belafsky PC, Halum SL, Gupta SK, Bach KK, et al. Transnasal esophagoscopy: revisited (over 700 consecutive cases). Laryngoscope. 2005;115(2):321–323.
  24. Bahrami MA, Ansari A, Chaman-Ara K, Bahrami E, Bahrami, S, Bahrami MN, et al. Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio as Novel Markers for Diagnosis of Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis. Bali Medical Journal. 2016;5(2):197–201.
  25. Fakhruzzaman MS, Khalid AK, Abd Halim H, Yunus MR. Utilizing Trans-Oral Robotic Surgery (TORS) in head and neck malignancy – is it practical in oropharyngeal squamous cell carcinoma (OPSCC)? A case report. Bali Medical Journal. 2023;12(1):930–933.

How to Cite

Anantomo, M. Q. ., & Perdana, R. F. . (2023). Transnasal Esophagoscopy (TNE) procedure in the outpatient clinic at Dr. Soetomo General Academic Hospital, Surabaya, Indonesia. Bali Medical Journal, 12(3), 2397–2400. https://doi.org/10.15562/bmj.v12i3.4610

HTML
1

Total
1

Share

Search Panel

Muhammad Qodri Anantomo
Google Scholar
Pubmed
BMJ Journal


Rizka Fathoni Perdana
Google Scholar
Pubmed
BMJ Journal