| 극세경 경비 내시경검사의 유용성과 안전성의 전향적 연구 |
| 정재학ㆍ정성현ㆍ권혁춘ㆍ박병준ㆍ한종대ㆍ황재철ㆍ신성재ㆍ정재연ㆍ이기명ㆍ유병무ㆍ이광재ㆍ김진홍 |
| 아주대학교 의과대학 소화기내과학교실 |
| Prospective Evaluation of Ultrathin Transnasal Esophagogastroduodenoscopy:Its Feasibility, Safety and Tolerance |
| Jai Hak Jeung, M.D., Seong Hyeon Jeung, M.D., Hyeok Choon Kwon, M.D., Byong Joon Park, M.D., Jong Dae Han, M.D., Jae Chul Hwang, M.D., Sung Jae Shin, M.D., Jae Youn Cheong, M.D., Kee Myung Lee, M.D., Byung Moo Yoo, M.D., Kwang Jae Lee, M.D. and Jin Hong K |
| Department of Gastroenterology, Ajou University College of Medicine, Suwon, Korea |
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| Abstract |
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Background/Aims:
We performed a prospective study to compare the feasibility, safety and tolerance among ultrathin transnasal (UT-N), thin transnasal (T-N) and ultrathin oral (UT-O) esophagogastroduodenoscopy.
Methods:
Two narrow diameter endoscopes (Ø=5.2 mm for UT-N and UT-O, Ø=6.5 mm for T-N) were used. The operator factors and patient factors were quantified by a visual analogue scale.
Results:
The procedure was successfully completed in 100 of 100 patients in the UT-O group. The T-N group, when compared with the UT-N group, accounted for a significantly higher portion of failure (14% vs 3%, respectively, p=0.000), more cases of epistaxis (11% vs 3%, respecttively, p=0.013) and more complaints of nasal pain (17% vs 6%, p=0.016). The overall quality of the exam was significantly higher in the UT-N group (UT-N, 8.7; T-N, 8.1; UT-O, 8.2, p=0.04). The frequency of a incurring a gag reflex was significantly lower in the UT-N group (UT-N, 1.26; T-N, 1.48; UT-O, 2.94, p= 0.000). The patients' score for overall general satisfaction was higher in the UT-N group (UT-N, 8.5; T-N, 7.8; UT-O, 7.7, p=0.006). Nausea was significantly reduced the in UT-N group (UT-N, 8.2; T-N, 7.8; UT-O, 7.3, p= 0.003). Patients in the UT-N group were more willing to repeat the same procedure (UT-N, 82%; T-N, 65%; UT-O, 71%, p=0.046).
Conclusions:
Ultrathin transnasal endoscopy is more feasible, safe and comfortable compared with the thin transnasal endoscopy or when compared with either instrument that was passed orally. (Korean J Gastrointest Endosc 2008;36:329-335) |
| Key Words:
Transnasal endoscopy, Transoral endoscopy, Patient's satisfaction, Complication, Success rate |
| 주요어:
경비 내시경검사, 경구 내시경검사, 환자 만족도, 합병증, 성공률 |
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