Evidence map›Paper›PMID 22425272›Full record

Trial reportGastrointestinal endoscopy2012

Feasibility, safety, acceptability, and yield of office-based, screening transnasal esophagoscopy (with video).

Anne F Peery, Toshitaka Hoppo, Katherine S Garman, Evan S Dellon, Norma Daugherty, Susan Bream, Alejandro F Sanz, Jon Davison, Melissa Spacek, Diane Connors and 6 more

Abstract readClinical TrialMulticenter StudyVideo-Audio Media
In one paragraph

Trial report in Gastrointestinal endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 3 pooled it
12.3field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 3 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Unsedated transnasal endoscopy for the detection of Barrett's esophagus: systematic review and meta-analysis.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2023
    Pooled it
  3. ACG Clinical Guideline: Diagnosis and Management of Barrett's Esophagus.The American journal of gastroenterology · 2016
    Guideline
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Pathologies Detected Using In-Office Transnasal Oesophagoscopy: Our Cohort of 234 Cases.Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery · 2026
    Article
  9. Article
  10. New Approaches to Screening for Barrett Esophagus.Gastroenterology & hepatology · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. New Techniques to Screen for Barrett Esophagus.Gastroenterology & hepatology · 2023
    Article
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 4 institutions in 1 country.

Anne F PeeryDepartment of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Toshitaka Hoppo
Katherine S Garman
Evan S Dellon
Norma Daugherty
Susan Bream
Alejandro F Sanz
Jon Davison
Melissa Spacek
Diane Connors
Ashley L Faulx
Amitabh Chak
James D Luketich
Nicholas J Shaheen
Blair A Jobe
Barrett's Esophagus Risk Consortium
University of North Carolina at Chapel Hill · USUniversity of Pittsburgh · USCase Western Reserve University · USDuke University · US

Funding

Targeting 15-PGDH in Colon Cancer Prognosis, Prediction, Treatment and PreventionP50CA150964 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI MARKOWITZ, SANFORD D. · 2011 to 2022
$24.6M
Whole Exome Approaches for Esophageal Adenocarcinoma Susceptibility GenesU54CA163060 · NCI · CASE WESTERN RESERVE UNIVERSITY · PI CHAK, AMITABH, GUDA, KISHORE · 2011 to 2022
$14.0M
DIGESTIVE DISEASES EPIDEMIOLOGY TRAINING PROGRAMT32DK007634 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT S. SANDLER · 1990 to 2026
$7.4M
Transnasal Esophagoscopy vs. Esophageal Capsule Endoscopy for Barrett's ScreeningRC4DK090645 · NIDDK · CASE WESTERN RESERVE UNIVERSITY · PI CHAK, AMITABH · 2010 to 2010
$805k
Screening for Barrett's in Otolaryngology PatientsK23DK066165 · NIDDK · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOBE, BLAIR ANDERSON · 2004 to 2008
$666k
NCI NIH HHS P50 CA150964NCI NIH HHS U54 CA163060NIDDK NIH HHS K23 DK066165NIDDK NIH HHS R21 DK076827NIDDK NIH HHS RC4 DK090645NIDDK NIH HHS T32 DK007634NIDDK NIH HHS T32 DK 07634
6 · The paper itself

Abstract

backgroundEndoscopic screening for esophageal neoplasia can identify patients eligible for early intervention for precancerous lesions. Unsedated transnasal esophagoscopy may provide an efficient and accurate endoscopic assessment with fewer risks and less cost, compared with conventional upper endoscopy.

objectiveTo assess the feasibility, safety, acceptability, and yield of unsedated transnasal esophagoscopy in a primary care population.

designMulticenter, prospective, cross-sectional study.

settingTwo outpatient tertiary-care centers. PATIENTS: This study involved a general medical clinic population aged between 40 and 85 years.

interventionUnsedated, office-based transnasal esophagoscopy. MAIN OUTCOME MEASUREMENTS: Procedure yield; completeness of examination; procedure length; adverse events and complications; choking, gagging, pain, or anxiety during the examination; and overall tolerability.

resultsA total of 426 participants (mean [± standard deviation] age 55.8 ± 9.5 years; 43% male) enrolled in the study, and 422 (99%) completed the examination. Mean (± standard deviation) examination time was 3.7 ± 1.8 minutes. There were no serious adverse events, and 12 participants (2.8%) reported minor complications. Participants reported minimal choking, gagging, pain, or anxiety. The examination was well-tolerated by most participants. Overall, 38% of participants had an esophageal finding that changed management (34% erosive esophagitis, 4% Barrett's esophagus). LIMITATIONS: Nonrandomized study, tertiary-care centers only, self-selected population with a large proportion reporting esophageal symptoms.

conclusionUnsedated transnasal esophagoscopy is a feasible, safe, and well-tolerated method to screen for esophageal disease in a primary care population. Endoscopic findings are common in this patient population.

Indexed as

AgedAirway ObstructionAmbulatory CareAnxietyBarrett EsophagusCross-Sectional StudiesEarly Detection of CancerEsophageal NeoplasmsEsophagitisEsophagoscopyFemaleGaggingHumansMaleMiddle AgedPain

Identifiers

PMID22425272
PMCPMC4154478
OpenAlexW2074320801

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.