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KMID : 0931320140140040255
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대한상부위장관.헬리코박터학회지
2014 Volume.14 No. 4 p.255 ~ p.260
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Evaluation of Transnasal Esophagogastroduodenoscopyas a Surveillance Endoscopy in a General Medical Checkup
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Lee Yoon-Jeong
Ko Soon-Young
Kim Sun-Woong
Kang Won-Chan
Lee Kang-Hoon
Kim Jeong-Hwan
Lee Sun-Young
Park Jong-Hoon
Park Bong-An
Lee Jong-Rok
Kee Sae-Yoon
Seo Hee-Yeon
Kim Hye-Young
Lee Jung-Hwa
Sung In-Kyung
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Abstract
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Background/Aims: Transnasal esophagogastroduodenoscopy (T-EGD) has been reported to be well tolerated and is known to reducepatient discomfort that occurs with conventional EGD (C-EGD) performed via an oral route. We aimed to evaluate factors thatinfluence 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 endoscopistsusing a 5.2-mm diameter endoscope. All examinees and endoscopists were asked to assess the T-EGD examinations using thepost-endoscopy questionnaire. The post-endoscopy questionnaire included a 10-point visual analogue scale, which asked the patientto place a cross on the line according to examinee’s or endoscopist’s experience of the endoscopy procedure. Zero representedthe 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 factorsfor failure of the procedure. Older age (≥35 years) or male examines preferred T-EGD as the modality for the next examination. Theendoscopist’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 toolder (≥35 years), male, or sedated C-EGD-experienced examinees in a general medical checkup. More experience with and educationabout T-EGD may help to improve the tolerance of the beginner group of endoscopists.
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KEYWORD
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Endoscopy, Surveillance, Personal satisfaction
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