Evidence map›Paper›PMID 42840656›Full record

ArticleJPGN reports2026

A comparison of the upright seated versus left lateral decubitus position during pediatric sedation-free transnasal endoscopy.

Catherine Nguyen, Molly Mackensen, Sophie Branen, Katherine Vaidy, Rose Lee

Abstract read
In one paragraph

Article in JPGN reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Catherine NguyenMedical College of Wisconsin Milwaukee Wisconsin USA.ORCID https://orcid.org/0009-0006-7716-9084
Molly MackensenChildren's Hospital of Wisconsin Milwaukee Wisconsin USA.ORCID https://orcid.org/0009-0000-2072-1735
Sophie BranenChildren's Hospital of Wisconsin Milwaukee Wisconsin USA.
Katherine VaidyDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Medical College of Wisconsin Milwaukee Wisconsin USA.ORCID https://orcid.org/0009-0000-0570-8380
Rose LeeDepartment of Pediatrics, Division of Pediatric Gastroenterology, Hepatology, and Nutrition Medical College of Wisconsin Milwaukee Wisconsin USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Although sedation-free transnasal endoscopy (TNE) is conventionally performed in an upright seated position in pediatric patients, emerging data suggest that the left lateral decubitus (LLD) position may improve both endoscopic visualization and patient comfort and safety. This study compared TNE outcomes and tolerance in pediatric patients using the upright versus LLD position. Methods: A retrospective review was conducted on 110 pediatric patients who underwent sedation-free TNE from September 2024 to November 2025. Three cases were excluded for scope failure during the procedure. Data including patient demographics, procedure time, TNEase (patient tolerance) score, and adverse events were collected. Results: Of the 107 cases, 71 were performed upright, 31 LLD, and 5 converted from upright to LLD due to syncope. Four cases of emesis and two cases of minor epistaxis occurred during upright TNE, while no major adverse events occurred during LLD TNE. There were no significant differences between upright and LLD TNE in patient age (upright 13.8 ± 2.8 vs. LLD 12.5 ± 3.3 years), mean TNEase score (1.1 vs. 1.4), or procedure times. For TNE-esophagoscopy, mean procedure times were 5.1 ( Conclusions: The LLD position is a safe and effective alternative to upright TNE and is better tolerated in patients with orthostatic intolerance.

Indexed as

childrendysphagiaeosinophilic esophagitisesophagoscopyunsedated endoscopy

Identifiers

PMID42840656
PMCPMC13640396

What OpenQuestion holds

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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.