Wireless pH testing as an adjunct to unsedated transnasal esophagoscopy: the safety and efficacy of transnasal telemetry capsule placement

Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery
P C BelafskyDavid Roseman

Abstract

The introduction of 48-hour wireless pH testing offers clinicians a new alternative for the objective documentation of reflux. The success of transnasal wireless pH capsule placement has not been previously described. The purpose of this investigation was to describe our experience with transnasal wireless pH capsule placement. All patients undergoing unsedated transnasal esophagoscopy and wireless pH capsule placement between January 1, 2003 and July 31, 2003 were prospectively evaluated. Data concerning patient tolerance, success of capsule placement and function, complications, and pH recordings were collected. During this time, 46 persons were evaluated. The mean age of the cohort was 52 years. Of the patients, 50% were male. The indications for the procedure were chronic cough (18/46), gastroesophageal reflux disease (18/46), and larygopharyngeal reflux (10). Of the procedures performed, 85% (39/46) were successful. Complications included epistaxis (2/46), laryngospasm (2/46), and vasovagal reaction (1/46). The transnasal placement of a wireless pH capsule is a safe and effective diagnostic adjunct to unsedated transnasal esophagoscopy.

References

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Dec 18, 2001·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·P C BelafskyJ A Koufman
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Citations

Sep 4, 2007·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Michael FriedmanNinos J Joseph
Mar 25, 2008·Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery·Milan R AminJamie A Koufman
May 27, 2006·Current Opinion in Otolaryngology & Head and Neck Surgery·Gregory N Postma
Aug 29, 2013·ISRN Otolaryngology·Junainah SabirinPhilip Rajan
Nov 28, 2012·Otolaryngologic Clinics of North America·Carrie M Bush, Gregory N Postma
May 5, 2010·Gastrointestinal Endoscopy·Sarah A RodriguezWilliam M Tierney
Jul 3, 2007·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·A GrigolonR Penagini
Aug 14, 2009·Clinical Otolaryngology : Official Journal of ENT-UK ; Official Journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery·N T OrbanR Corbridge
Oct 27, 2009·The Laryngoscope·Clark A RosenGregory N Postma
Jun 17, 2011·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·S NusratK Bielefeldt
May 31, 2006·Gastrointestinal Endoscopy·Taketo YamaguchiHiromitsu Saisho
May 11, 2005·Current Medical Research and Opinion·Anthony J DiMarino, Sidney Cohen
Jun 24, 2016·Clinical and Experimental Otorhinolaryngology·Bahtiyar PolatMustafa Gerek
Jan 9, 2007·European Journal of Gastroenterology & Hepatology·Richard S GilliesThomas C B Dehn
Jan 6, 2006·Journal of Clinical Gastroenterology·Yasser M BhatKlaus Bielefeldt

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