Penggunaan esofagoskopi transnasal di Rumah Sakit Dr. Cipto Mangunkusumo

Background: Transnasal esophagoscopy (TE) is a new diagnostic technique that provides theopportunity for ENT specialists to examine the aerodigestif tract, from the nasal vestibulum until the cardia,at the outpatient clinic, with topical local anesthesia and without the need for sedation. Purpose: To obtaindata of transnasal esophagoscopy in Otorhinolaryngology-Head and Neck Surgery Department, CiptoMangunkusumo Hospital. Cases: Reported 32 patients which had undergone transnasal esophagoscopyfrom February 2014 to March 2015, consisted of 20 male and 12 female, age ranged between 11-82years. Most chief complaints were difficulty of swallowing in 18 patients. Most common indications ofTE were dysphagia, globus or reflux in 12 patients. Most common diagnosis was achalasia esophagus in7 patients. Methods: The evidence based literature were searched from EBSCO Host Medline, Cochraneand Pubmed Medline database according to clinical question. After filtered with inclusion and exclusioncriteria, we found 2 journals that relevant to our case. Results: From the journals, we found reports ofserial cases of transnasal esophagoscopy on patiens with aerodigestive problems. Conclusion: Transnasalesophagoscopy provides an ‘one stop’ diagnosis service, reducing diagnostic delays, the need for endoscopyunder general anaesthesia and barium swallows.