Office based trans nasal esophagoscopy, and its role.

Trans Nasal Esophagoscopy (TME) - a new concept to visualize the esophagus in office practice has obviated the conventional rigid esophagoscope, which is a cumbersome, time consuming procedure and sometimes associated with complications like perforation. Many surgeons in the West using flexible endoscope after air insufflation have tried this procedure. We fabricated a new gadget far the purpose of air insufflation in collaboration with the department of biomedical engineering, Apollo hospitals, Chennai which substitute oxygen insufflation through central supply or through the flow meter connected to an O(2) cylinder. In this article we have discussed various uses of the procedure in diagnosis A therapeutic application in an E.N.T office practice and also the unique technique of air insufflation with the new gadget.