Transnasal Esophagoscopy (TNE): Comfortable and Sedation-Free Esophageal Examination

Transnasal Esophagoscopy (TNE) is a modern diagnostic method used to examine the esophagus, pharynx, and entrance to the stomach using a thin endoscope through the nose. Unlike traditional gastroscopy, it does not require sedation and is a more comfortable and quicker procedure.

When Is TNE Used?

  • Gastroesophageal reflux disease (GERD) and esophageal irritation
  • Swallowing difficulties (dysphagia) and esophageal strictures
  • Barrett’s esophagus and cancer screening
  • Sensation of something stuck in the throat, chronic cough, and hoarseness

How Is TNE Performed?

An anesthetic spray is applied to the nose.
A thin endoscope is inserted through the nose to examine the esophagus and stomach entrance.
A biopsy can be taken, and the procedure takes 5–10 minutes.
The patient can immediately return to normal daily activities.

Advantages of TNE

  • No need for sedation; the patient remains fully conscious.
  • A fast and comfortable procedure with no gag reflex.
  • Can be performed on an outpatient basis; no observation period required after the procedure.

Who Is Not Suitable for TNE?

  • Patients with nasal obstruction or nasal passage narrowing
  • Patients with large masses or at high risk of severe bleeding

If you are experiencing symptoms related to reflux, difficulty swallowing, or esophageal problems, TNE offers a fast and comfortable solution without the need for sedation.

Prof. Dr. Elif Aksoy
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    Prof. Dr. Elif Aksoy