Publications by authors named "J Friedlander"
Article Synopsis
- Patients with esophageal atresia and tracheoesophageal fistula (EA-TEF) face various gastrointestinal complications, necessitating potential lifetime endoscopic monitoring.
- There's growing interest in using pediatric unsedated transnasal endoscopy (TNE) as a safer, cost-effective alternative to traditional endoscopy for these patients.
- The report highlights four cases where TNE was effectively utilized for monitoring and managing conditions like gastroesophageal reflux and eosinophilic esophagitis, supporting its use in routine screenings as per guidelines.
Introduction: Unsedated transnasal endoscopy (TNE) as transnasal esophagoscopy (TN-Eso) has emerged as a promising alternative to esophagogastroduodenoscopy (EGD) under sedation to assess eosinophilic esophagitis (EoE). We report our center's experience using single-use gastroscopes to perform sedation-free transnasal EGD (TN-EGD) with biopsies in an office-based setting.
Methods: A retrospective review was performed on patients with eosinophilic esophagitis who underwent office-based sedation-free TNE with topical analgesia and virtual reality (VR) procedural dissociation and distraction.
Transnasal endoscopy ease score "TNEase score" to evaluate patient tolerance of unsedated transnasal endoscopy.
J Pediatr Gastroenterol Nutr
February 2024
Transnasal endoscopy (TNE) with virtual reality (VR) distraction allows for unsedated pediatric upper endoscopy. Understanding the pediatric population that is successful with TNE is imperative for patient selection and experience. We developed a "TNEase Score" to assess patient tolerance from the physician's assessment.
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