The study assessed the feasibility, safety, acceptability, and yield of unsedated TNE in a primary care population. It was a multicenter, prospective, cross-sectional study conducted from 2009 to 2010 at two outpatient tertiary-care centers. The main outcome measurements included procedure yield, completeness of examination, procedure length, adverse events and complications, choking, gagging, pain or anxiety during the examination and overall tolerability.
A total of 426 participants enrolled in the study, and 422 (99 percent) completed the examination. Mean examination time was 3.7 minutes. There were no serious adverse events, and 12 participants (2.8 percent) reported minor complications. Participants reported minimal choking, gagging, pain or anxiety. Although examination was well-tolerated by most participants, some experienced excess mucus, chronic throat clearing, chest pain or chronic sore throat. Overall, 38 percent of participants had an esophageal finding that changed management.
While unsedated TNE was shown to be a safe and effective method to screen for esophageal disease, the authors acknowledged two endoscopists with extensive experience in TNE performed the examinations. Therefore, it is possible that patient tolerability would be lower with less experienced endoscopists.
Related Articles on Endoscopy:
NC’s Mission Hospital Seeks to Add GI Endoscopy Room to Proposed Fletcher Health Campus
CA’s Gastroenterology Center of Thousand Oaks Launches Website
Patients Over 50 Give Three Reasons for Avoiding Colorectal Cancer Screenings
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
