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

University of Leipzig283 enrolled

Overview

Evaluation of patients safety and comfort in nasal endoscopy.

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.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

283

Conditions

Patient Safety

Interventions

Nasal GastroscopyPROCEDURE

Use of transnasal endoscopes for routine gastroscopy in adults.

Oral Gastroscopy, unsedatedPROCEDURE

Use of transoral endoscopes for routine gastroscopy in adults. Use of local anesthesia.

Oral Gastroscopy, sedatedPROCEDURE

Use of transoral endoscopes for routine gastroscopy in adults. Use of intravenous sedation.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

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)

Locations (1)

University of Leipzig

Leipzig, Germany

Outcomes

Primary Outcomes

Patients satisfaction (pain, discomfort, experience)

Satisfaction with the procedure: * not at all * hardly * moderately * quite * extraordinarily (extraordinarily = the best possible outcome, not at all = the worst possible outcome)

Time frame: During Endoscopy procedure

Secondary Outcomes

Pain during the procedure

Nose pain Numeric Rating Scale 1-10 (1 = no pain, 10 = worst imaginable pain) Throat pain Numeric Rating Scale 1-10 (1 = no pain, 10 = worst imaginable pain) Gag Reflex: Yes or No Abdominal pain: Numeric Rating Scale 1-10 (1 = no pain, 10 = worst imaginable pain)

Time frame: During Endoscopy procedure

Previous experience with endoscopy

Experience: Have you had a gastroscopy: Yes or No If Yes, how was your gastroscopy: * pleasant * slightly unpleasant * very unpleasant

Time frame: Before Endoscopy procedure

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.