1999 Volume 1999 Issue Supplement101 Pages 65-69
Transnasal hypopharyngoesophagofiberscopy was performed on eighteen patients whose chief complaint was a foreign body sensation in the throat and in whom hypopharyngoesophageal disease was suspected. This fiberscopy was performed by attaching a hood equipped with an air line to a laryngofiberscope. In five patients, lesions were detected in the esophageal mucous membrane, and they were diagnosed as having reflux esophagitis. Administration of Lansoprazole, a proton pump inhibitor, led to improvement of symptoms in all patients. Compared to conventional transoral insertion, the present transnasal fiberscopy utilizing a hood not only places less stress on patients, but also is able to detect lesions in the hypopharynx and the esophageal mucous membrane more easily and quickly.