| Theme | Patient Management During Endoscopic Examination and Treatment | |
|---|---|---|
| Title | Pretreatment and Premedication for Transnasal Endoscopy | |
| Publish Date | 2012/09 | |
| Author | Takashi Kawai | Endoscopy Center, Tokyo Medical University Hospital |
| Author | Mari Fukuzawa | Endoscopy Center, Tokyo Medical University Hospital |
| Author | Hiroko Sugimoto | Endoscopy Center, Tokyo Medical University Hospital |
| Author | Kyosuke Yanagisawa | Endoscopy Center, Tokyo Medical University Hospital |
| Author | Tetsuya Yamagishi | Endoscopy Center, Tokyo Medical University Hospital |
| Author | Masakatsu Fukuzawa | 4th Department of Internal Medicine, Tokyo Medical University Hospital |
| Author | Takuji Gotouda | 4th Department of Internal Medicine, Tokyo Medical University Hospital |
| Author | Fuminori Moriyasu | 4th Department of Internal Medicine, Tokyo Medical University Hospital |
| [ Summary ] | The primary difference between TN-EGD and TO-EGD is the use of premedication. It is necessary that adequate anesthesia be administered to the nasal cavity. This consists of less than 200 mg of lidocaine for TN-EGD premedication. Gastric peristalsis sometimes occurs during TN-EGD, so glucagon and mint-oil are administered when improvement of observation and biopsy procedure is necessary. Biopsy forceps modified for TN-EGD should also be used for adequate pathological diagnosis. | |