• Title/Summary/Keyword: Esophagoscopy

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Treatments of esophageal foreign body treated using Rigid esophagoscopy (강직형식도경술을 이용하여 치료한 이물에 대한 임상적 고찰)

  • Chung, Phil-Sang;Jung, Seung-Wan;Kim, Yun-Hwan
    • Korean Journal of Bronchoesophagology
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    • v.5 no.2
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    • pp.159-163
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    • 1999
  • OBJECTIVE : To study the management (diagnostic and therapeutic) of esophageal foreign bodies with rigid esophagoscopy. MATERIAL AND METHODS : All 100 patients admitted to the Dankook University Hospital for ingestion of foreign bodies between May 1994 and July 1999. The outcome for each patient was determined by examining hospital records of demographic information, identification of the foreign body and the removal procedure used. RESULTS : Rigid esophagoscopy was performed for suspected foreign bodies in 100 cases an impacted. The most frequent location was the upper third of the esophagus (68%). The most common type of foreign body was fish bones in adult(61%) and coins in children(70%). In 12 patients. flexible endoscopy had failed previously to remove the foreign body and 4 cases were migrated esophageal metal stent in esophageal stenosis. CONCLUSIONS : The rigid esophagoscopy is appropriate techniques for managing esophageal foreign bodies.

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Trends in Utilization of Transnasal Esophagoscopy (경비강 식도경의 임상적 활용)

  • Park, Il-Seok
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.29 no.2
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    • pp.67-69
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    • 2018
  • The development of office-based, unsedated transnasal esophagoscopy (TNE) has proven to be a major technological advance and with time and experience the application of this technology is becoming more widespread. TNE has allowed otolaryngologists to perform a variety of diagnostic and therapeutic procedures in the office setting. Studies consistently demonstrate that the image quality and diagnostic capability of TNE is equivalent to conventional esophagoscopy. The modern TNE endoscopes offer high quality optics, air-insufflation, and irrigation capability through a 2-mm working channel, and the ability to perform biopsies and select procedures. In general, the role of TNE in the head and neck patient is three-fold : to screen for synchronous and metachronous esophageal squamous cell carcinoma (ESCC) ; to differentiate post-treatment changes/symptoms from malignancy ; and to perform certain office-based procedures. TNE offers many specific advantages to the head and neck patient that are not afforded by conventional esophagoscopy. Because of surgical and postirradiation changes, many HNSCC patients have trismus or neck stiffness preventing completion of conventional transoral esophagoscopy. Perhaps most importantly, TNE provides enhanced patient safety, increased tolerability, better practice efficiency, and cost savings. For these reasons, TNE has become a particularly useful tool in the otolaryngologist's armamentarium.

Transnasal Esophagoscopy (경비 식도 내시경)

  • Park, Young-Hak;Choi, Ji-Young
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.20 no.1
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    • pp.31-35
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    • 2009
  • Transnasal Esophagoscopy allows the upper aerodigestive tract, from the nasal cavity to the gastric cardia to be examined in the outpatients department. It is well tolerated by patient with topical anesthesia alone and no sedation or patient preparation is required. The technique is easily learned and performed in the otolaryngologist and highly cost efficient. It is a useful tool for accurate diagnosis and can be used in a variety of office-based procedures.

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Transnasal Esophagoscopy (경비 식도 내시경)

  • Park, Young-Hak;Kim, Hyun-Soo
    • Korean Journal of Bronchoesophagology
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    • v.16 no.2
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    • pp.91-96
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    • 2010
  • Transnasal esophagoscopy allows. the upper aerodigestive tract, from the nasal cavity to the gastric cardia to be examined in the outpatients department. It is well tolerated by patient with topical anesthesia alone and no sedation or patient preparation is required. The technique is easily learned and performed in the otolaryngologist and highly cost efficient. It is a useful tool for accurate diagnosis and can be used in a variety of office-based procedures.

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Endoscopic Assessment of Esophagitis with Transnasal Esophagoscopy in the Prediction of Treatment Response

  • Chung, Eun-Jae;Park, Min-Woo;Jung, Kwang-Yoon
    • Journal of the Korean Society of Laryngology, Phoniatrics and Logopedics
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    • v.25 no.1
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    • pp.27-30
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    • 2014
  • Objectives : The purpose of this study was to investigate the endoscopic evidence of esophagitis in laryngopharyngeal reflux disease (LPRD) patients using transnasal esophagoscopy (TNE) and to correlate these findings with treatment response. Methods : Fifty patients underwent TNE at Korea University Anam Hospital from July 2007 to Feb 2009. Participants were selected from patients that presented with various laryngeal symptoms. One experienced otolaryngologist assessed esophagitis according to the Los Angeles classification system using the TNE findings. Results : Fifteen of 50 LPR patients (30%) were found to have esophagitis (12 patients with Grade A, 3 patients with Grade B, no patients with grade C/ D esophagitis). Among the 15 patients positive for esophagitis based on the endoscopic findings, 12 (80%) showed symptom improvement after pharmacological therapy. Symptom improvement was correlated with evidence of esophagitis (p=0.002) but not with RFS (p=0.749). Conclusion : Endoscopic evaluation of esophagitis using TNE is a potentially valuable tool for predicting treatment response in LPRD patients.

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Clinical Observation of Complications of Foreign Bodies in the Esophagus (식도이물의 합병증에 관한 임상적 관찰)

  • 이양선;조영채
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1979.05a
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    • pp.6.1-6
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    • 1979
  • Though complications of foreign bodies in the esophagus are rare, they are sometimes fatal due to injuries to the esophageal wall by sharp pieces of bone, metals, long-term lodgement of foreign bodies in the esophagus or a little inadvertence during diagnostic or therapeutic esophagoscopy on patients with esophageal diseases. Therefore, failure to early diagnose and adequately treat the complications will lead to high morbidity and mortality. The authors have experienced 21 cases of complications of foreign bodies in the esophagus caused by foreign bodies themselves or inadvertence during esophagoscopy. So we report them with literature review.

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Two Cases of Esophageal Perforation due to Esophagoscopy (식도경술에 의한 식도천공의 2례)

  • 손학순
    • Proceedings of the KOR-BRONCHOESO Conference
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    • 1978.06a
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    • pp.3.1-3
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    • 1978
  • Esophageal perforation tend to occur more frequently today because of the increased use of therapeutic and diagnostic endoscopy. Even the slightest trauma to the esophageal can be fetal. Thus, esophageal perforation carries a very high mortality and morbidity unless early diagnosis and prompt therapy are instituted. We have had two cases of esophageal perforation associated with periesophageal abscess due to esophagoscopy after removal of foreign body with good results. Therefore these two cases of esophogoscopic esophageal perforation are reported with a review of the literature.

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