Tu1274 Prospective Evaluation of Flexible Spectral Imaging Color Enhancement (FICE) Endoscopy Using a TransNasal Endoscope for Detecting Pharyngeal and Esophageal Cancer

incomplete exam included intubated patients (2/14), inadequate sedation (9/14), and inability to see the entire hypopharynx (3/14). The mean time of the WLE was 20.2 seconds while the NBI evaluation took 15.6 seconds for a mean 35.8 seconds for the entire exam of the hypopharynx and larynx. All patients then had successful examination of the esophagus/stomach/duodenum. There were 6 patients who had hypopharyngeal abnormalities seen on both WLE and NBI (5.4%) and were subsequently referred to otolaryngology. Of the 6 referrals, one patient had a vocal cord biopsy showing leukoplakia while the others were deemed normal anatomic variants. Minor procedural complications occurred in 3/111 (2.7%) of the patients and included hypotension, tachycardia, and hypoxia. Conclusion: Evaluation of the hypopharynx can be accomplished by gastrointestinal endoscopists at the time of EGD in the majority of patients in a safe manner while adding only about 35 seconds to the overall exam time.