Acceptability to patients of screening disposable transnasal endoscopy: qualitative interview analysis

The acceptability to patients of PhysioDirect telephone assessment and advice services; a qualitative interview study

BACKGROUND In response to long waiting lists and problems with access to primary care physiotherapy, several Primary Care Trusts (PCTs) (now Clinical Commissioning Groups CCGs) developed physiotherapy-led telephone assessment and treatment services. The Medical Research Council (MRC) funded PhysioDirect trial was a randomised control trial (RCT) in four PCTs, with a total of 2252 patients that ...

Evaluation of Duodenal Hypersensitivity to Acid Using Transnasal Endoscopy

Three-dimensional endoscopy in transnasal transsphenoidal approach to clival chordomas.

BACKGROUND The purpose of this prospective, observational study was to evaluate the management of skull base chordomas surgically resected via a 3D-endoscopic transnasal approach. METHODS Thirteen consecutive patients were observed and only 9 were surgically treated using a 3D-endoscopic transnasal approach assisted by a novel 3D visualization system. RESULTS Nine consecutive male patients ...

Use of anticoagulant or antiplatelet agents is not related to epistaxis in patients undergoing transnasal endoscopy

Background and study aims  Unsedated transnasal endoscopy (uTNE) has become accepted as a safe and tolerable method for upper gastrointestinal tact examinations. Epistaxis is 1 of the major complications of TNE, though its risk factors have not been elucidated. Generally, patients administered an anticoagulant or antiplatelet drug are considered to have an increased risk of epistaxis during TNE...

Feasibility of transnasal endoscopy in screening for esophageal and gastric varices in patients with chronic liver disease

BACKGROUND AND STUDY AIMS  Screening for esophageal and gastric varices is indicated for patients with portal hypertension or cirrhosis. Typically, conventional endoscopy is used; however, the need for sedation increases the costs and risks, especially in cirrhotic patients. Use of transnasal endoscopy with an ultrathin endoscope enables study of the upper gastrointestinal tract without the nee...