{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,9]],"date-time":"2026-06-09T16:56:48Z","timestamp":1781024208193,"version":"3.54.1"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2014,5,19]],"date-time":"2014-05-19T00:00:00Z","timestamp":1400457600000},"content-version":"vor","delay-in-days":48,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Otolaryngology"],"published-print":{"date-parts":[[2014,4]]},"abstract":"Objectives<\/jats:title>To determine the success rate, patient tolerability and impact of introducing transnasal oesophagoscopy on clinical practices.<\/jats:p><\/jats:sec>Design<\/jats:title>Prospective cohort with review of electronic patient records for outcomes.<\/jats:p><\/jats:sec>Setting<\/jats:title>UK<\/jats:styled-content> tertiary centre Otolaryngology Department.<\/jats:p><\/jats:sec>Participants<\/jats:title>The cohort comprised of two hundred and fifty\u2010seven patients, 128 females (50%) and 129 males (50%) with an age range of 20\u201391\u00a0years; mean age 59\u00a0years (sd<\/jats:sc> 13.6).<\/jats:p><\/jats:sec>Main outcome measures<\/jats:title>Success rates, indications, findings and outcomes of patients undergoing transnasal oesophagoscopy and impact on rigid examinations of the pharynx and oesophagus were also considered.<\/jats:p><\/jats:sec>Results<\/jats:title>Transnasal oesophagoscopy has a high success rate of 97%; it is well tolerated by patients, and poor views are uncommon. Pathology was detected in 44% of patients. The most common indications for transnasal oesophagoscopy were unexplained throat symptoms (50%) and dysphagia (25%). Common positive findings were hiatus hernia (7%), Barrett's oesophagus (5%), dysmotility (5%) and oesophageal candidiasis (5%). Following transnasal oesophagoscopy, 59% of patients were discharged to their referring clinician, 17% continued to undergo otolaryngology follow\u2010up, and 13% were referred to our gastrointestinal colleagues. Following the introduction of transnasal oesophagoscopy, there was a reduction in the number of rigid examinations of the pharynx and oesophagus in the subsequent years, despite an increase in total referrals.<\/jats:p><\/jats:sec>Conclusions<\/jats:title>Transnasal oesophagoscopy is a well\u2010tolerated procedure that allows otolaryngologists to make management decisions on common referrals swiftly in the clinic setting avoiding unnecessary investigations, follow\u2010up and referral.<\/jats:p><\/jats:sec>","DOI":"10.1111\/coa.12241","type":"journal-article","created":{"date-parts":[[2014,4,9]],"date-time":"2014-04-09T06:35:12Z","timestamp":1397025312000},"page":"108-113","source":"Crossref","is-referenced-by-count":19,"title":["Transnasal oesophagoscopy: diagnostic and management outcomes in a prospective cohort of 257 consecutive cases and practice implications"],"prefix":"10.1111","volume":"39","author":[{"given":"L.","family":"Abou\u2010Nader","sequence":"first","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Freeman Hospital Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.A.","family":"Wilson","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Freeman Hospital Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"Paleri","sequence":"additional","affiliation":[{"name":"Department of Otolaryngology\u2010Head and Neck Surgery Freeman Hospital Newcastle upon Tyne UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,5,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.117873"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2001.120427"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2007.12.032"},{"key":"e_1_2_8_5_1","first-page":"3","volume-title":"Guidelines on Complications of Gastrointestinal Endoscopy","author":"Bell G.D.","year":"2006"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.mlg.0000154741.25443.fe"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000128303.05898.ee"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/coa.12116"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(03)02714-7"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2005.01082.x"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.MLG.0000163756.89321.47"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-4486.2005.01103.x"}],"container-title":["Clinical Otolaryngology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fcoa.12241","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/coa.12241","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,23]],"date-time":"2023-09-23T18:57:19Z","timestamp":1695495439000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/coa.12241"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2014,4]]}},"alternative-id":["10.1111\/coa.12241"],"URL":"https:\/\/doi.org\/10.1111\/coa.12241","archive":["Portico"],"relation":{},"ISSN":["1749-4478","1749-4486"],"issn-type":[{"value":"1749-4478","type":"print"},{"value":"1749-4486","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,4]]}}}