Learning transnasal gastroscopy from a plumber
Transnasal oesophagogastroduodenoscopy (OGD) is a new technique for upper gastrointestinal endoscopy using a thinner endoscope passed through the nose rather than the traditional route through the mouth. These endoscopes are about 6 mm in diameter, similar to a bronchoscope. We have been using this method since July 2007. Because of its novelty, we organised a demonstration of the procedure for the local primary care doctors and other practitioners interested in endoscopy. We invited patients who have had previous gastroscopies orally and were on our follow-up list mainly for surveillance of Barrett’s oesophagus.
I performed transnasal OGD on a patient who had previously undergone oral endoscopy three times. Those in the lecture room watched by video link. The procedure went well, and the patient said he found it less distressing than the oral method. He then said, “I am a plumber and want to give you some advice. I am used