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Korean J Helicobacter  Up Gastrointest Res > Volume 14(4); 2014 > Article
The Korean Journal of Helicobacter  and Upper Gastrointestinal Research 2014;14(4):255-260.
DOI: https://doi.org/10.7704/kjhugr.2014.14.4.255    Published online December 10, 2014.
Evaluation of Transnasal Esophagogastroduodenoscopy as a Surveillance Endoscopy in a General Medical Checkup
Yoon Jeong Lee, Soon Young Ko, Sun Woong Kim, Won Chan Kang, Kanghoon Lee, Jeong Hwan Kim, Sun Young Lee, Jong Hoon Park, Bong An Park, Jeong Rok Lee, Sae Yoon Kee, Hee Yeon Seo, Hye Young Kim, Jung Hwa Lee, In Kyung Sung
1Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
2Department of Medical Immunology Center, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea.
3Department of Internal Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea. syko406@naver.com
4Department of Anesthesiology and Pain Medicine, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.
5Department of Pediatrics, Konkuk University Chungju Hospital, Konkuk University School of Medicine, Chungju, Korea.
Abstract
BACKGROUND/AIMS
Transnasal esophagogastroduodenoscopy (T-EGD) has been reported to be well tolerated and is known to reduce patient discomfort that occurs with conventional EGD (C-EGD) performed via an oral route. We aimed to evaluate factors that influence preferences for T-EGD as a surveillance EGD in a general medical checkup. MATERIALS AND METHODS: A total of 658 subjects (median age, 49 years; 45% men) underwent T-EGD procedures by 8 endoscopists using a 5.2-mm diameter endoscope. All examinees and endoscopists were asked to assess the T-EGD examinations using the post-endoscopy questionnaire. The post-endoscopy questionnaire included a 10-point visual analogue scale, which asked the patient to place a cross on the line according to examinee's or endoscopist's experience of the endoscopy procedure. Zero represented the worst experience and 10 the best experience. RESULTS: T-EGD was feasible in 96.6% of the subjects. Younger age (<35 years) and female sex were significant predictive factors for failure of the procedure. Older age (> or =35 years) or male examines preferred T-EGD as the modality for the next examination. The endoscopist's overall discomfort level was higher in the beginner group than in the expert group. CONCLUSIONS: The T-EGD may be better tolerated than C-EGD and offers a more comfortable surveillance endoscopic procedure to older (> or =35 years), male, or sedated C-EGD-experienced examinees in a general medical checkup. More experience with and education about T-EGD may help to improve the tolerance of the beginner group of endoscopists.
Key Words: Endoscopy; Surveillance; Personal satisfaction
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