Theme |
Patient Management During Endoscopic Examination and Treatment |
Title |
Pretreatment and Premedication for Transnasal Endoscopy |
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. |