Transoral Esophagoscopy Periprocedural Care

Updated: Nov 28, 2022
  • Author: Dan C Cohen, MD; Chief Editor: Kurt E Roberts, MD  more...
  • Print
Periprocedural Care

Patient Education and Consent

Informed consent must be obtained prior to the procedure. The risks, benefits, complications, and alternative treatments must be reviewed with the patient.


Preprocedural Planning

Before the procedure, a full history should be obtained from the patient, and all previous and current medical records should be reviewed. A full physical examination should be performed, with special attention given to the oral cavity and pharynx. The thyroid and parathyroid glands should be palpated, and palpation for cervical and supraclavicular lymph nodes should be performed when esophageal cancer is suspected. The existence of poor dentition should be documented.


Patient Preparation

The patient is placed in the left lateral decubitus position. Moderate sedation is then accomplished by using a combination of narcotic and benzodiazepine, which are infused intravenously in incremental doses.