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Nasal breathing is superior to oral breathing when performing and undergoing transnasal endoscopy: a randomized trial

https://asahikawa-med.repo.nii.ac.jp/records/2000532
https://asahikawa-med.repo.nii.ac.jp/records/2000532
96fca182-bd5b-4909-af23-373b5f833876
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35835446.pdf 35835446.pdf (1.4 MB)
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Item type 学術雑誌論文 / Journal Article_02(1)
公開日 2025-06-19
タイトル
タイトル Nasal breathing is superior to oral breathing when performing and undergoing transnasal endoscopy: a randomized trial
言語 en
言語
言語 eng
資源タイプ
資源タイプ journal article
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 Keitaro, Takahashi

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Yuki, Murakami

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Takahiro, Sasaki

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Nobuhiro, Ueno

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Shion, Tachibana

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Junpei, Ikeda

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Kenichi, Ishigaki

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Masashi, Horiuchi

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Moe, Yoshida

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Kyoko, Uehara

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Yu, Kobayashi

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Yuya, Sugiyama

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Takehito, Kunogi

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Mizue, Muto

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Katsuyoshi, Ando

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Momotaro, Muto

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Shin, Kashima

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Kentaro, Moriichi

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Hiroki, Tanabe

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Nobuyuki, Yanagawa

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Kazumichi, Harada

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Takashi, Teramoto

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Toshikatsu, Okumura

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Mikihiro, Fujiya

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bibliographic_information en : Endoscopy

巻 55, 号 3, p. 207-216, 発行日 2023-03-01
ISSN
収録物識別子タイプ PISSN
収録物識別子 0013-726X
DOI
関連タイプ isIdenticalTo
識別子タイプ DOI
関連識別子 https://doi.org/10.1055/a-1900-6004
リンクURL
内容記述タイプ Other
内容記述 https://www.thieme-connect.de/products/ejournals/abstract/10.1055/a-1900-6004
言語 en
item_1716186501932
関連タイプ isIdenticalTo
識別子タイプ PMID
関連識別子 35835446
item_5_description_33
内容記述タイプ Abstract
内容記述 BACKGROUND : Transnasal endoscopy presents a technical difficulty when inserting the flexible endoscope. It is unclear whether a particular breathing method is useful for transnasal endoscopy. Therefore, we conducted a prospective randomized controlled trial to compare endoscopic operability and patient tolerance between patients assigned to nasal breathing or oral breathing groups. METHODS : 198 eligible patients were randomly assigned to undergo transnasal endoscopy with nasal breathing or with oral breathing. Endoscopists and patients answered questionnaires on the endoscopic operability and patient tolerance using a 100-mm visual analog scale ranging from 0 (non-existent) to 100 (most difficult/unbearable). The visibility of the upper-middle pharynx was recorded. RESULTS : Patient characteristics did not differ significantly between the groups. Nasal breathing showed a higher rate of good visibility of the upper-middle pharynx than oral breathing (91.9 % vs. 27.6 %; P < 0.001). Nasal breathing showed lower mean [SD] scores than oral breathing in terms of overall technical difficulty (21.0 [11.4] vs. 35.4 [15.0]; P < 0.001). Regarding patient tolerance, nasal breathing showed lower scores than oral breathing for overall discomfort (22.1 [18.8] vs. 30.5 [20.9]; P = 0.004) and other symptoms, including nasal and throat pain, choking, suffocating, gagging, belching, and bloating (all P < 0.05). The pharyngeal bleeding rate was lower in the nasal breathing group than in the oral breathing group (0 % vs. 9.2 %; P = 0.002). CONCLUSIONS : Nasal breathing is superior to oral breathing for those performing and undergoing transnasal endoscopy. Nasal breathing led to good visibility of the upper-middle pharynx, improved endoscopic operability, and better patient tolerance, and was safer owing to decreased pharyngeal bleeding.
言語 en
注記
内容記述タイプ Other
注記 This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
言語 en
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© 2022. The Author(s).
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