Korean Journal of Family Medicine

Epiglottic Cyst Incidentally Discovered During Screening Endoscopy: A Case Report and Review of Literature: Seung-Hwa Lee, Duck-Joo Lee, Kwang-Min Kim, Kyu-Nam Kim, Sang-Wook Seo, Young-Kyu Park, Sung-Min Cho, Young-Ah Choi, Jung-Un Lee, Dong-Ryul Lee; Korean J Fam Med 2014;35(3):160-166. Published online May 22, 2014; DOI: https://doi.org/10.4082/kjfm.2014.35.3.160

Abstract
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From the endoscopists' point of view, although the main focus of upper gastrointestinal endoscopic examination is the esophagus, stomach, and duodenum (usually bulb and 2nd portion including ampulla of Vater), the portions of the upper airway may also be observed during insertion and withdrawal of the endoscope, such as pharynx and larynx. Thus, a variety of pathologic lesions of the upper airway can be encountered during upper endoscopy. Among these lesions, an epiglottic cyst is relatively uncommon. The cyst has no malignant potential and mostly remains asymptomatic in adults. However, if large enough, epiglottic cysts can compromise the airway and can be potentially life-threatening when an emergency endotracheal intubation is needed. Thus, patients may benefit from early detection and treatment of these relatively asymptomatic lesions. In this report, we present a case of epiglottic cyst in an asymptomatic adult incidentally found by family physician during screening endoscopy, which was successfully removed without complication, using a laryngoscopic carbon dioxide laser.

Citations

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When benign lesions cause significant morbidity: A case of a massive epiglottic cyst
Walter Yung Chwen Lim, Atikah Rozhan, Chenthilnathan Periasamy
Visual Journal of Emergency Medicine.2025; 39: 102260. CrossRef
Incidental finding of two epiglottic cysts: Case report and literature review
Razan Alosaimi, Lara Alyahiwi, Abdulrahman Fahad Aljadoa, Bandar Abushal, Fahad Mohammed Alruwaili, Abdulmajeed Zakzouk
International Journal of Surgery Case Reports.2025; 133: 111537. CrossRef
An Uncommon Epiglottic Cyst Presentation in an Adolescent: A Case Report and Literature Review
Hisham Alrashdan, Khaldoun Alshugran, Osama M Alshiyyab, Jawad F Khasawneh, Ethar N Ibrahim
Cureus.2024;[Epub] CrossRef
Giant Epiglottic Cyst: A Comprehensive Case Report and Literature Review
Po-Hsuan Jeng, Tien-Ru Huang, Cheng-Ping Shih
Ear, Nose & Throat Journal.2024;[Epub] CrossRef
Epiglottic Epidermoid Cyst: Cadaveric Case Report and Clinical-Surgical Applications
Juan J Cardona, Katie Stormes, Neal Jackson, Yushi Abe, Joe Iwanaga, R. Shane Tubbs
Cureus.2023;[Epub] CrossRef
Pedunculated Fibrolipoma of the Hypopharynx: A Case Report
Tae Seong Eo, Hyang Ae Shin, Jeong Hae Kie, Ji-Hoon Kim
Journal of The Korean Society of Laryngology, Phoniatrics and Logopedics.2022; 33(2): 115. CrossRef

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The Effect of Preparatory Education Program on Discomfort and Retching of Examinees during Upper Gastrointestinal Endoscopy: Ju-Yeon Lee, Min-Whon Anhn, Eun-Tae Kim, Dae-Hyun Kim, Hyuk-Jung Kweon, Dong-Yung Cho, Hyung Moon Yoon; Korean J Fam Med 2012;33(4):219-228. Published online July 25, 2012; DOI: https://doi.org/10.4082/kjfm.2012.33.4.219

Abstract
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Background

Although upper gastrointestinal (UGI) endoscopy is highly sensitive for the detection of esophago-gastroduodenal lesions, pain and discomfort during the procedure cause examinees to experience stress and anxiety. Moreover, there have been only a few studies on relief of pain and discomfort during UGI endoscopy through preparatory interventions. Therefore, the aim of this study was to investigate the relationship between a preparatory education program and the discomfort and retching experienced by examinees during endoscopy.

Methods

A total of 306 examinees who visited a health promotion center and underwent non-sedated endoscopy from May 13 to July 3, 2009 were included in this study. After they were assigned to experimental (n = 154) and control groups (n = 152), their discomfort and retching were measured with a visual analogue scale. The preparatory education program consisted of cognitive intervention, behavioral intervention and information.

Results

The preparatory education program relieved discomfort during endoscopy in male subjects, in subjects aged 60 and over, or in subjects with previous endoscopic experience with statistical significance (P < 0.05). It also relieved retching during endoscopy in subjects aged 60 and over with statistical significance (P = 0.023). Multiple logistic regression analysis showed that the preparatory education program significantly relieved the discomfort of examinees during endoscopy (P = 0.028).

Conclusion

We found that the preparatory education program used in this study could significantly relieve the discomfort caused by endoscopy, particularly in subjects aged 60 and over, or in male subjects with a high incidence of stomach cancer in Korea.

Citations

Citations to this article as recorded by

Effect of electroacupuncture on discomfort during gastroscopy: A randomised controlled trial
Xuan Yin, Bingyu Yu, Philippa Jemma Hazlewood, Kun Xu, Hongyu Yue, Yiqun Mi, Shifen Xu
Complementary Therapies in Medicine.2023; 73: 102936. CrossRef
Effective communication enhances the patients’ endoscopy experience
D. P. Toomey, M. Hackett-Brennan, G. Corrigan, C. Singh, G. Nessim, P. Balfe
Irish Journal of Medical Science (1971 -).2016; 185(1): 203. CrossRef
Effects of Video- and Pamphlet-based Patient Educations on Anxiety and Satisfaction Among Candidates for Gastroscopy
Nasrin Kamyabi, Maryam Nakhaei, Ahmad Nasiri, Ehsan Akbari, Gholamreza Sharifzadeh
Modern Care Journal.2016;[Epub] CrossRef

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Effect of Video-Education on Pre-Procedure Anxiety.: Min Young Kim, Serng Bai Park, Su Yong Park, Young Eun Choi, Young Sung Kim, Sang Hyun Lee, Seung Su Kim, Kyung Hee Cho; Korean J Fam Med 2011;32(1):37-45. Published online January 20, 2011; DOI: https://doi.org/10.4082/kjfm.2011.32.1.37

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Background
The value of endoscopy is more increasing as a tool of the cancer screening, and many studies are now progressed for decreasing the inconvenience of patients who undergo the endoscopy. There are some overseas studies that the video-education before procedures like colonoscopy or coronary angiography increases the satisfaction and decreases the anxiety of the patients. But in Korea, there is lack of studies about the methods of decreasing the anxiety of the patients before procedures especially endoscopy.Methods: We carried out the survey with 95 patients underwent the endoscopy in the medical health checkup center of National Health Insurance Medical Center during 19 July 2008 to 8 September 2008. The patients who had the medical history of gastrectomy, had pains due to another diseases and had a prescription about psychiatric medicine including hypnotics were excluded.Results: Statistically there are no differences between two groups of the video-education and the paper-education according to age, sex, height, weight, body mass index, numbers of former endoscopy, smoking history and educational standard. The video-education is more effective than the paper-education in decreasing the anxiety index between before and after the education.Conclusion: The prior video-education for the patients awaiting endoscopy can decrease the anxiety about procedure. Moreover, it can decrease the suffi cation of the patients and increase the satisfaction of physicians. If the patients feeling the prior anxiety are educated with the video before undergoing endoscopy, the video-education is very effective to decrease the prior anxiety of the patients.

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The Effect of Family Member's Attendance on Relief of Patient's Discomfort during Upper Gastrointestinal Endoscopy.: Jong Yoon Yoo, Sang Keun Hahm, Jung Yoon Chun, Sang Hyuk Lee, Seong Hwan Cho, Jin A Park; J Korean Acad Fam Med 2008;29(1):13-19. Published online January 10, 2008

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Upper Gastrointestinal Endoscopy without Topical Pharyngeal Anesthesia.: Eun Hee Kong, Ji Young Jang, Jong Soon Choi, Jee Yeon Kim, Seun Ja Park; J Korean Acad Fam Med 2005;26(5):276-281. Published online May 10, 2005

Abstract
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Background
: Many endoscopists generally use topical pharyngeal anesthesia as a premedication for upper gastrointestinal endoscopy. However, the use of topical pharyngeal anesthesia for upper GI endoscopy has been debated since its inception. The purpose of this study was to compare the effect of no premedication to the effect of a lidocaine premedication.

Methods : One hundred consecutive examinees scheduled for diagnostic upper endoscopy, divided into two group 50, were randomly assigned to receive topical lidocaine spray or without. The test group involved subjects not using topical pharyngeal anesthesia and the control group involved subjects using it without sedation. The collected data included intubation time (seconds), procedure time (minutes), pulse rate, blood pressure, the difficulty of the endoscopy (VAS), anxiety (STAI), and discomfort. Examinees were also asked whether they would agree to another endoscopy if their doctor thought it was medically necessary.

Results : In the response to the amount of cough, belching, bloating or the degree of difficulty in endoscopic procedure, there was no statistically significant difference between the test group and the control group. The intubation time was significantly different comparing the no-premedication group versus lidocaine premedication group. However, the procedure time was not significantly different. In the normotensive group, the changes of systolic blood pressure during endoscopy were significantly higher in the test group than in the control group.

Conclusion : Evaluating all variables, there was no statistically significant difference between the test group and the control group.

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Changes of Blood Pressure during Endoscopy.: Young In Lee, Hyun Ah Park, Yong Hyun An, Hyeong Jun Kim, Sang Keun Hahm; J Korean Acad Fam Med 2003;24(12):1099-1103. Published online December 10, 2003

Abstract
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Background
: The burden of cardiac complications during endoscopy are growing due to increasing proportion of elderly in the endoscopy target population. This study was conducted to examine the blood pressure changes before and after the endoscopy and to seek better pre-treatments in minimizing cardiac complications.

Methods : One hundred subjects were chosen by consecutive sampling who visited a general hospital for physical examination. Basal, pre-endoscopic, immediate post-endoscopic blood pressure and blood pressure after 10 and 30 minutes were measured utilizing manual BP cuffs and recorded.

Results : The subjects included 34 hypertensive patients. Twelve subjects were on anti hypertensive medication. In 5 consecutive measurements, significant variations on blood pressure was noted (P＜0.01). Blood pressure kept increasing until immediately after the procedure, followed by a gradual reduction. These changes were observed in both the normotensive and the hypertensive group, but the degree of changes were more pronounced in the hypertrensive group than the normotensive group (P＜0.01). The difference between basal and after procedure was 17.6 mmHg for systolic, 13.5 mmHg for diastolic in the normotensive group. However in the hypertensive group, the difference was 21.4 mmHg for systolic, 14.8 mmHg for diastolic. In comparison of medicated and non-medicated group in the hypertensive patients, the degree of changes were marginally, but significantly lower in the treatment group than in the non-treatment group (systolic P=0.056, diastolic P=0.049).

Conclusion : The stress during endoscopy resulted in blood pressure changes, and the degree of changes was higher in the hypertensive group than the normotensive group. In the hypertensive group, the degree of changes was lower in patients treated with anti hypertensives than the non-treated patients. This sample size, however, was small.