Hi- I have a J-pouch and have been experiencing symptoms of GERD and possibly Eosinophilic Esophagitis. The Gastro wants me to do an EGD which requires sedation and costs a lot. I've been reading about TNE (Transnasal) which uses a smaller scope and is performed without sedation and considerably less cost. Has anyone had experience with the TNE as opposed to the EGD? 

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It looks like a good technique, but you may have trouble finding a gastroenterologist experienced in performing the procedure. The lower cost might also be elusive, since that will have more to do with your insurance plan and the endoscopist’s billing practices than the hypothetical cost. In theory, though, eliminating the anesthesia should lower the cost to you. Good luck, and let us know if you manage to obtain this procedure.

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