Necessity of Transnasal Gastroscopy in Routine Diagnostics - a Patient Centered Requirement Analysis

University of Leipzig

Status: Completed

Conditions: Patient Safety

Treatments: Procedure: Nasal Gastroscopy; Procedure: Oral Gastroscopy, sedated; Procedure: Oral Gastroscopy, unsedated; Procedure: Oral Gastroscopy with transnasal endoscope, sedated

Study type: Interventional

Funder types: Other

Identifiers

NCT03663491

Nasal Gastroscopy

Details and patient eligibility

About

Evaluation of patients safety and comfort in nasal endoscopy.

Full description

Introduction: Numerous indications require regular outpatient upper gastrointestinal endoscopy (EGD). In most cases, peroral gastroscopy is performed. The aim of this study was to evaluate the necessity and outpatients' demand for transnasal gastroscopy (nEGD).

Methods: A questionnaire was used to assess patients' choice of method, previous experience, psychological and sociodemographic data. Furthermore, the patients' satisfaction with and potentially perceived discomfort during the examination as well as their preference for a method with regard to future examinations was evaluated.

Enrollment: 283 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Informed consent
• Adequate knowledge of oral and written german

Exclusion criteria

• Inpatient Treatment
• For medical reasons (narrow nasal cavity, band ligation of esophageal varices, Placement of a percutaneous endoscopic gastrostomy, planned colonoscopy under sedation the same day, abnormal coagulation, emergency procedures)

Trial design

Primary purpose: Diagnostic

Allocation: Non-Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

283 participants in 3 patient groups

Unsedated Nasal Gastroscopy

Experimental group

Description:

Transnasal Endoscopy. No sedation used. Use of local anesthesia.

Treatment:

Procedure: Nasal Gastroscopy

Procedure: Oral Gastroscopy with transnasal endoscope, sedated

Oral Gastroscopy, unsedated

Active Comparator group

Description:

Transoral Endoscopy. No sedation used. Use of local anesthesia.

Treatment:

Procedure: Oral Gastroscopy, unsedated

Oral Gastroscopy, sedated

Active Comparator group

Description:

Transoral Endoscopy. Intravenous sedation used.

Treatment:

Procedure: Oral Gastroscopy, sedated