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Esophagoscopy Without Sedation (Trans-Nasal Esophagoscopy; Esophagus Exam Endoscopy)

August 19, 2019

It is possible to examine without any
sedation the lining of the esophagus which is the tube that goes from the
mouth down into the stomach. Usually performed if there is concern for reflux
or esophageal cancer, this exam is performed by passing a scope through the
nose after adequate topical anesthesia. Here the scope is passed gently and
slowly through the nose. Once the back is reached, it is guided down into the
throat. Here we can see the voice box at this
point. The patient is instructed to swallow water a few times and the scope
is then passed into the esophagus. The scope is gently threaded towards the
stomach while the lining is carefully examined for any abnormalities. Here we have reached the point just
behind the heart. Here we can see a clear border
separating the esophagus from the stomach. At this point the scope is gently
withdrawn. If any abnormalities were seen, biopsies
would have to be taken. As you can see, the patient is able to tolerate this
exam without too much discomfort. Patients who are not candidates for
awake esophagus copy include a nose that is too small for the scope to enter as
well as patients with a very strong gag reflex.


  • Reply sixesfullofnines April 14, 2014 at 7:34 am

    A quick inquiry, is there a specific protocol (international guidlines) for cleaning the endoscope in between patient examinations.  For example if a patient presents with an upper respiratory complication (for instance viral) what is to stop the transmission of body fluids to another patient from the device.

  • Reply Genesis Knights April 14, 2014 at 12:41 pm

    looks ok but what if you start puking during procedure?

  • Reply Iman Louiza August 20, 2014 at 8:15 pm

    ,?, uff tuttora automaticamente in questi tuttora in le tuttora in? ! Y uncuituttt, y?oautopsiayticamente ty y,!!!esiti dell'autopsiay di tutti

  • Reply Iman Louiza August 20, 2014 at 8:15 pm


  • Reply Stevie Wonder August 26, 2014 at 7:19 pm

    I had this without ANY numbing…it stang!

  • Reply Stephanie Lindner November 13, 2014 at 5:02 am

    I would like to know if there is a Dr. in Nashville, TN who does this procedure.

  • Reply jemclaug January 20, 2015 at 10:56 pm

    Are you kidding, I need sedation just to watch this video!

  • Reply BlackVeilIzzyVlogs April 9, 2015 at 6:18 am

    I've had something SIMILAR done. It's wasn't a scope, though. It was to help with stomach issues. The same procedure was done on me, (DOWN THE NOSE, THROUGH THE THROAT, AND INTO THE STOMACH. Although, I had to keep it in for 3 days…. 😱😭😂

  • Reply Lisa Livangood April 25, 2015 at 5:59 pm

    I just had that done yesterday, it wasn't bad at all.  It wasn't nearly as unpleasant as the XR Esophagram where I had to drink barium and other very nasty tasting chemical mixers when they did xrays while swallowing them.  Talk about nauseating!!!

  • Reply vinh ngo September 4, 2015 at 1:53 pm

    Hai dam

  • Reply Kathryn Steward December 15, 2015 at 3:11 pm

    Where can I find a doctor in the Tampa Bay area of FL that does this procedure? I've called about 2 dozen doctors offices and hospitals with no luck. I'm getting desperate here.

  • Reply ceterababe May 26, 2016 at 1:06 pm

    The headrest should have been placed to support the patient's head. The head support can help a patient feel less anxious and it helps prevent sudden head movement.

  • Reply no pennies just change ! June 16, 2016 at 10:55 am

    shame the endo scope they use im the uk is like a hose pipe!

  • Reply TheRealisticSammie February 28, 2017 at 9:56 am

    She's brave as fuck, The dr put a long as q tip up my nose to swab it and i cried like a baby! lol

  • Reply Nicholas Zustak May 8, 2017 at 8:07 am


  • Reply Lindsay Tucker August 2, 2017 at 6:27 am

    I dont know about you guys… but his scrub shirt tag was really bugging me through the entire video.

  • Reply xtine 416 August 8, 2017 at 5:09 am

    I watched this video before I had this procedure done and it really wasn't that bad once they spray the lidocaine up your nose.

  • Reply nick p August 24, 2017 at 2:15 am

    jesus h christ …chamo. i had a regular camera inmy nose and i passed out lmfao

  • Reply Otolaryngology ENT August 29, 2017 at 4:00 am

    Otolaryngology ENT The Amazing Nose In The World.

  • Reply Miss. Phyllis Renee Foster September 21, 2017 at 4:55 am


  • Reply Campur Semua bumbu lalu diolah December 12, 2017 at 8:38 am


  • Reply Mariya Dumanska January 17, 2018 at 10:45 pm


  • Reply jim kapus January 29, 2018 at 7:50 pm

    It looks worse than it actually feels. Had a tumor at the base of my tongue and i need to get check ups every 3 months. Just had it done today again for the third time. Compared to everything i went through, this was nothing.

  • Reply Canal info inglesa February 1, 2018 at 9:11 pm

    I done it today. The doctor did not gave me water. The anestesi that the doctor spray into your nose and throat taste bad. I have done and glad that the result was clear.

  • Reply Chaz Michael February 8, 2018 at 8:06 pm

    Too bad NOONE has heard of this, so frustrating.

  • Reply Literally Felicity February 27, 2018 at 12:52 am

    What would happen if you sneezed while the tube was deep down your nose? Will it hurt you or bleed?

  • Reply sum boi March 1, 2018 at 7:26 pm

    Does anyone know if it causes gagging when it goes through your throat?

  • Reply Saif Ullah April 19, 2018 at 8:11 pm

    How can Sex improve

  • Reply King_Borris July 6, 2018 at 9:42 am

    I had one done today and it was the worst thing in my life. I had to have them pull it out I was gagging so bad. Then they did it again. Fucking terrible !!!!!

  • Reply Jessica Reeves July 13, 2018 at 6:55 pm

    I just had this done it was beyond uncomfortable

  • Reply Cesium Bob August 23, 2018 at 3:49 am

    Is it possible to look at the esophagus with this procedure? When I had mine done the ENT said no and she just went down into my throat.

  • Reply Tom Hanks September 10, 2018 at 11:27 am

    I've done this without knowing I was going in for the procedure. They told me they wanted a check up. It was nothin, you don't feel anything. Just gotta breathe right and not move much

  • Reply 54900 subscribes without video challenge October 3, 2018 at 9:03 am

    I just had it done . it was really painful for me.

  • Reply Chad Chadwig October 10, 2018 at 9:19 pm

    I had this done it’s not that bad

  • Reply R6-D2 October 15, 2018 at 5:49 pm

    Rumor has it she suddenly got the hiccups causing a chain reaction. The camera went down farther than expected. She then had to fart suddenly causing the camera to pop out of her anus. I shit you not.

  • Reply Implant Dr October 16, 2018 at 11:42 pm

    What if a biopsy is needed?? Then would the transoral endoscopy be needed?

  • Reply Duznt Matter October 23, 2018 at 7:39 am

    She was glad that was over LOL

  • Reply luis carlos cabral October 25, 2018 at 10:38 pm

    tentei fazer este enxame hoje e não consegui, entrei em pânico, esta endoscopia nasal deveria ser com sedativo como a endoscopia de estomago.

  • Reply Thi B November 12, 2018 at 9:43 am

    Can this be done with no anaesthetic and sedation? Or alittle sedation only?

  • Reply İlki Ilki December 14, 2018 at 1:15 am

    Boaaarr IT was sooooooooo painful for me, my doctor did it without any seduction

  • Reply Old is Gold December 19, 2018 at 12:13 pm

    How she is sitting comfortably….

  • Reply KlimaVids December 31, 2018 at 4:42 pm

    What happens if you accidentally swallow while the procedure is happening? Can you injure yourself!

  • Reply Aassddoopp 7 January 2, 2019 at 4:53 am

    Thanks for translating to Arabic

  • Reply Lourrist Danza January 11, 2019 at 8:40 pm

    Where are you guys located?

  • Reply Fabiola II Ludwig von Hoffenhelm February 23, 2019 at 10:32 am

    Wait? Through noise?

  • Reply Yvan Liew April 22, 2019 at 8:09 am

    what is the difference between TNO and FEES?

  • Reply B M May 13, 2019 at 7:22 pm

    Is this available in Dubai????

  • Reply Maria Chrostowski June 13, 2019 at 4:07 pm

    I able to tolerate it.

  • Reply Dalexuie August 16, 2019 at 4:28 am

    I was doing it yesterday but it hurt so much and I’ve removed it😭

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