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Joan Rivers’ News: More Details Revealed About Yorkville Endoscopy Doctors’ Medical Malpractice

In a new Joan Rivers news report, the personnel of the said Upper East Side clinic supposedly did not stop the TV host's scoping procedure even after her pulse and blood pressure dropped.

Fox News: Joan Rivers’ death: Risk factors of sedation and general anesthesia

Following the death of 81-year-old Joan Rivers from cardiac arrest on Sept. 4, questions have arisen as to the safety of the procedure she underwent at an outpatient endoscopy clinic and whether she was under general anesthesia.

What went wrong during Joan Rivers’ endoscopy and are there lessons to be learned from her death?

On August 28th, 2014, something happened during Joan Rivers’ endoscopy that took her life, and there is now clear evidence that many things went wrong that took Joan Rivers’ life.

Trans-Nasal Esophagoscopy; Esophagus Exam Endoscopy (Example Video)

This video demonstrates how the esophagus can be examined without any sedation.

Screening for esophageal disease with unsedated transnasal endoscopy is safe and feasible

Researchers report that unsedated transnasal endoscopy is a feasible, safe, and well-tolerated method to screen for esophageal disease in a primary care population.

Transnasal Esophagoscopy: A Viable Alternative to Conventional Procedures

From EntToday: Transnasal esophagoscopy (TNE) offers physicians and patients a number of advantages compared with conventional esophagoscopy (CE) performed transorally with sedation, and has become increasingly popular in clinical practice over the past several years. [...]

NY Times: Finding, and Treating, Esophageal Cancer

Diagnosed early, well before patients develop swallowing problems, esophageal cancer is usually curable. A cure is most certain if the problem is detected and corrected before or during the advanced precancerous stage. But for about 90 percent of patients, early detection and treatment are missed, and the outcome is fatal.

Transnasal Route: New Approach to Endoscopy

An ultrathin endoscope inserted via a nostril, so-called transnasal esophagogastroduodenoscopy (TN-EGD) is widely accepted nowadays.

Unsedated transnasal endoscopy: A Canadian experience in daily practice

The use of sedation is also associated with an increase in cost, loss of work on the day of endoscopy and the need for the patient to be accompanied home after the procedure. Transnasal endoscopy has advantages such as no sedation and less patient monitoring, nursing time and expenses than conventional per oral EGD.

The Dangers of Procedural Sedation

From ABC News: How much are we willing to risk for more comfort and less anxiety when we undergo routine medical procedures at the dentist's or doctor's, or when we visit hospital emergency rooms? That [...]