Evidence mapPaperPMID 35239094Full record

ReviewDigestive diseases and sciences2022

Unsedated Transnasal Endoscopy: A Safe, Well-Tolerated and Accurate Alternative to Standard Diagnostic Peroral Endoscopy.

Rebecca K Grant, William M Brindle, Alexander R Robertson, Rahul Kalla, John N Plevris

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Digestive diseases and sciences, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06200961 (Use of Sedation-Free Transnasal Endoscopy to Improve Access and Lower Costs of Endoscopic Evaluations in a Bariatric Medical and Surgical Program), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.4field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06200961 narecruitingnot on this mapstarted 2026, after this paper: background citation

Use of Sedation-Free Transnasal Endoscopy to Improve Access and Lower Costs of Endoscopic Evaluations in a Bariatric Medical and Surgical Program

TypeinterventionalSponsorChristopher C. Thompson, MD, MScRan2026 to 2028Enrolled100ConditionsObesity, Obesity, Morbid, Obese, GI DisordersArmsTransnasal Endoscopy, Esophagogastroduodenoscopy
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Self-performed transnasal esophagogastroduodenoscopy in the standing position.iGIE : innovation, investigation and insights · 2026
    Article
  4. Duodenal Biopsies for Coeliac Disease: Does Size Matter?Diagnostics (Basel, Switzerland) · 2025
    Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Rebecca K GrantThe Centre for Liver and Digestive Disorders, Royal Infirmary of Edinburgh, Edinburgh, UK. rebecca.x.grant@nhslothian.scot.nhs.uk.
William M BrindleThe Centre for Liver and Digestive Disorders, Royal Infirmary of Edinburgh, Edinburgh, UK.
Alexander R RobertsonThe Edinburgh IBD Unit, Western General Hospital, Edinburgh, UK.
Rahul KallaThe Centre for Liver and Digestive Disorders, Royal Infirmary of Edinburgh, Edinburgh, UK.
John N PlevrisThe Centre for Liver and Digestive Disorders, Royal Infirmary of Edinburgh, Edinburgh, UK.
Edinburgh Royal Infirmary · GBWestern General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diagnostic unsedated transnasal endoscopy (uTNE) has been proven to be a safe and well-tolerated procedure. Although its utilization in the United Kingdom (UK) is increasing, it is currently available in only a few centers. Through consideration of recent studies, we aimed to perform an updated review of the technological advances in uTNE, consider their impact on diagnostic accuracy, and to determine the role of uTNE in the COVID-19 era. Current literature has shown that the diagnostic accuracy of uTNE for identification of esophageal pathology is equivalent to conventional esophagogastroduodenoscopy (cEGD). Concerns regarding suction and biopsy size have been addressed by the introduction of TNE scopes with working channels of 2.4 mm. Advances in imaging have improved detection of early gastric cancers. The procedure is associated with less cardiac stress and reduced aerosol production; when combined with no need for sedation and improved rates of patient turnover, uTNE is an efficient and safe alternative to cEGD in the COVID-19 era. We conclude that advances in technology have improved the diagnostic accuracy of uTNE to the point where it could be considered the first line diagnostic endoscopic investigation in the majority of patients. It could also play a central role in the recovery of diagnostic endoscopic services during the COVID-19 pandemic.

Indexed as

Barrett EsophagusCOVID-19Endoscopy, Digestive SystemEndoscopy, GastrointestinalHumansPandemicsBarrett’s esophagusEosinophilic esophagitisEsophageal varicesGastric cancerTrans-nasal endoscopy

Identifiers

PMID35239094
PMCPMC8893049
OpenAlexW4214882068

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.