Transnasal gastroscopy
Hello doctor, I had a rhinoplasty about 10 years ago.
Can I undergo a transnasal endoscopy? I am concerned about the risk of infection or the protrusion of foreign objects.
I hope you can take the time to respond.
Thank you.
Linli, 40~49 year old female. Ask Date: 2024/01/18
Dr. Yang Zhichao reply Gastroenterology and Hepatology
Hello Ms.
Linli, you can arrange for a painless gastroscopy.
Using a standard gastroscope not only alleviates your concerns but also provides better resolution, making it more suitable for observing the stomach.
Thank you for your inquiry.
Reply Date: 2024/01/18
More Info
Undergoing a nasogastric endoscopy after rhinoplasty is generally considered safe, but there are several important factors to consider. First, it's essential to understand the implications of both procedures and how they may interact.
Rhinoplasty, which is a surgical procedure to reshape the nose, can involve significant changes to the nasal structure, including the nasal passages and the surrounding tissues. After rhinoplasty, the nasal passages may be swollen or sensitive, and there may be residual healing that could be affected by the introduction of a foreign object, such as a nasogastric tube.
1. Timing: If your rhinoplasty was performed about ten years ago, the risk of complications related to the surgery itself is significantly reduced. However, if you have had any recent nasal surgeries or if you are experiencing any nasal issues, it is advisable to consult with your ENT specialist or the physician performing the endoscopy to assess your current nasal condition.
2. Risk of Infection: There is a potential risk of infection whenever a foreign object is introduced into the body. In the case of nasogastric endoscopy, the tube is inserted through the nose and down the esophagus into the stomach. If your nasal passages are still sensitive or if there is any residual healing from your rhinoplasty, there may be an increased risk of irritation or infection. It is crucial to ensure that the procedure is performed in a sterile environment and by a qualified professional.
3. Discomfort and Sensitivity: After rhinoplasty, the nasal passages can be more sensitive than usual. The insertion of a nasogastric tube may cause discomfort, especially if there is any residual swelling or sensitivity in the nasal area. It is essential to communicate with your healthcare provider about any concerns you have regarding discomfort during the procedure.
4. Follow-Up Care: After undergoing nasogastric endoscopy, it is important to monitor for any unusual symptoms, such as increased pain, bleeding, or signs of infection. If you experience any of these symptoms, you should contact your healthcare provider immediately.
5. Consultation: Before proceeding with a nasogastric endoscopy, it is advisable to have a thorough consultation with both your ENT specialist and the physician performing the endoscopy. They can evaluate your specific situation, review your medical history, and determine if any additional precautions or modifications to the procedure are necessary.
In summary, while it is generally safe to undergo nasogastric endoscopy after rhinoplasty, especially after a significant amount of time has passed, it is crucial to consider individual circumstances, potential risks, and the importance of professional medical guidance. Always prioritize open communication with your healthcare providers to ensure the best possible outcomes for your health and well-being.
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