A Novel Anterior Rhinoscopic Scoring Scale to Predict Nasal Insertability Before Transnasal Endoscopy
Injury Due to Endoscopic Examination, Transnasal Endoscopy Induced Epistaxis, Transnasal Endoscopy Induced Nasal Pain
About this trial
This is an interventional prevention trial for Injury Due to Endoscopic Examination focused on measuring Endoscopes, Esophago-gastro-duodenoscopy, Transnasal endoscopy, Anterior meatoscopy
Eligibility Criteria
Inclusion Criteria:
All outpatients with epigastric discomfort (non-ulcer dyspepsia), aged 18-65 years are eligible for this study.
Exclusion Criteria:
Patients who have prior nasal trauma or surgery, recent or present upper gastrointestinal bleeding and coagulopathy are excluded from this study. Patients who are allergic to an anesthetic agent and who have uncontrolled hypertension or coronary artery disease are not recruited. Those who are uncooperative and unable to answer questions are also excluded.
Sites / Locations
- Buddhist Tzu Chi HospitalRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Anterior meatuscopy
Nasal sniff test
All patients in the study group receive anterior meatoscopy whereas patients in the control group perform a sniff test to select the most patent nostril for nasal anesthesia and transnasal endoscopic insertion.
A sniff test for nasal patency is a common method before ultrathin transnasal esophago-gastro-duodenoscopy (UT-EGD) to select the right or left nostril for insertion.