Clinical Gastroenterology Vol.27 No.6(3)

Theme More Comfortable Endoscopy -- Transnasal Endoscopy and Capsule Endoscopy
Title Transnasal Small-caliber Endoscopy for Observation of Oro-hypopharyngeal Conditions
Publish Date 2012/06
Author Mika Yuki Division of Internal Medicine, Izumo-City General Medical Center
Author Yoshinori Komazawa Division of Internal Medicine, Izumo-City General Medical Center
Author Yoshikazu Kinoshita Second Department of Internal Medicine, Shimane University, School of Medicine
[ Summary ] Transnasal small-caliber gastrointestinal endoscopy is now widely used to examine the upper gastrointestinal tract. Easy maneuverability in narrow spaces and comfortable examinations make transnasal small-caliber endoscopy preferable for observation of the oro-hypopharynx. Since patients do not gag or choke during transnasal small-caliber endoscopy, close-up view of the oro-hypopharyngeal mucosa can easily be obtained. Observation of the orohypopharynx by transnasal small-caliber endoscopy can be improved when combined with image-enhanced technology. However, the resolution obtained is lower than that with standard high-resolution endoscopes. For effective examination using transnasal small-caliber endoscopes, the Valsalva maneuver and the neck rotation method should be employed.
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