Application Of Nasal Endoscopy In The Treatment Of Upper Digestive Tract Diseases

Objective: To explore the clinical value of endoscopic treatment of upper digestive tract diseases.Methods: Catheter may in our hospital in 2013 and 2015 may need for endoscopic treatment of patients according to treatment method for different groups, the same treatment of patients according to the random sampling of the grouping principle. The nasal endoscopic esophageal metal stents, esophageal stricture dilatation and nutrition in 85 cases(group A); common endoscope assisted esophageal metal stents, esophageal stricture dilatation and nutrition tube placement in 85cases(group B). Group A and B group included patients with no statistical difference. Nasal endoscopy in the treatment of biliary disease 67 cases(Group C); nasal endoscopic treatment of infantile disease in 20 cases(Group D). all patients were examined with the integrated dynamic ECG monitoring, recorded in detail before treatment and during treatment in patients with heart rate, oxygen saturation and systolic blood pressure and diastolic blood pressure changes. While recording the whole course of treatment in patients with nausea, vomiting, pain, irritability, cough,tears and other discomfort, record the time required for the whole course of treatment,postoperative records of patient’s self feeling.Result:1.All cases were successfully treated by endoscopic therapy, and no major complications occurred.2.By nasal endoscopy group(group A) compared with normal endoscopy group(group B)application of X-ray and endoscopy under dilatation was significantly reduced(P < 0.05); in treatment of the patients with nausea, vomiting, pain and other discomfort was significantly reduced(P < 0.05); two groups during the treatment in oxygen saturation were decreased, but were higher than 95%(P > 0.05), patients heart rate, systolic blood pressure, diastolic blood pressure were increased, but ordinary gastroscope group significantly increased(P < 0.05); two groups of cases curative effect quite, there were no serious complications occurred, but the treatment time in group A than B group decreased(P < 0.05), patients of treatment by nasal endoscopic The treatment of feeling, the acceptance of the degree and good compliance(P<0.05).3.Biliary diseases(Group C) treatment 67 cases, all by nasal endoscope was inserted into thebiliary duct 100%, including 57 cases of bile duct stones, benign and malignant biliary stenosis in10 cases. In 13 cases(22.8%) found that residual stones, all residual stones through take stone basket or flush, to attract clean clean. 10 cases of bile duct stenosis were successfully inserted into the common bile duct, clear strictures determined diagnosis(100%), were treated under nasal endoscope. No serious complications such as bleeding, perforation, pancreatitis and biliary infection, also did not find endoscopic injury.4.After endoscopic treatment of 20 cases of infantile diseases(D group), including 11 cases of gastrointestinal bleeding, 9 cases of gastric foreign body, are one-time treatment success, no bleeding, perforation and other complications.Conclusion:1.Under nasal endoscope for upper digestive tract stent implantation and expansion treatment and gastrointestinal nutrition tube placement in patients with treatment, compared with ordinary gastroscope is more accurate, safe and side effects less can avoid exposure to radiation, more easily accepted by the patients and the endoscopist, and part of the ordinary gastroscope treatment can not pass or impossible to treat the disease.2.Of foreign body in infant disease and gastric endoscopic treatment, to avoid the common gastroscope in the treatment of greater stimulation, especially unable or unable to ordinary gastroscope in the treatment of infants and young children, to avoid the child anesthesia risk, even surgical treatment of risk, with an irreplaceable effect in the treatment.3.For biliary tract disease, regardless of the residual stones, benign and malignant stricture of diagnosis and treatment is effective, residual bile duct stones ERCP can be avoided, to avoid the recurrence of common bile duct stones; of benign and malignant stricture of endoscopic diagnosis,and can obtain histological evidence, determine the nature of the lesion, smoothly through the stenosis of internal and external drainage in the treatment of, opens a new way for treatment of biliary tract examination.4.In summary, under nasal endoscope on upper digestive tract disease diagnosis and treatment of safe, effective and practical, less side effect, the operation more simple and feasible, patients are more easily accepted, was also willing to application and treatment of part of the ordinary gastroscope not treated or not treated disease, clinical application value.