Introducing Transnasal Endoscopy in Wales

Status Active
Programme Upper GI Programme
Partners Cardiff and Vale University Health Board +

Project Lead(s)

Dr Hasan Haboubi

Dr Hasan Haboubi

Consultant Gastroenterologist, Cardiff and Vale University Health Board

Dr Dai Samuel

Dr Dai Samuel

Consultant Hepatologist, Cwm Taff Morgannwg University Health Board


Novel and innovative ways of increasing diagnosis are needed to diagnose cancers earlier in Wales, whilst not becoming burdensome on an already stretched health service.

Dr Hasan Haboubi

You tube TNE thumbnail

Endoscopy is critical to the diagnosis of oesophageal and gastric cancers, which are both in the top 10 of cancers with the worst mortality outcomes. Endoscopy can be particularly valuable in identifying pre-cancerous lesions and early cancers where the tumour is still amenable to curative treatment.

Transnasal endoscopy is an upper gastrointestinal (GI) endoscopy method performed via the nose instead of the traditional method through the mouth, using a thinner endoscope. The practice has been adopted in some hospitals in England and widely in Scotland but is not yet in use in Wales.

There are two main potential benefits of introducing TNE to the diagnostic pathway:

  • Better patient outcomes - as the procedure is less invasive it is therefore more comfortable
  • Improved efficiency - TNE can take less time and fewer resources, thus enabling more patients to be seen overall and can therefore contribute to reducing the growing backlog facing endoscopy services.

This project saw Dr Hasan Haboubi, Consultant Gastroenterologist in Cardiff & Vale, and Dr Dai Samuel, Consultant Hepatologist in Cwm Taff Morgannwg, deploy Olympus gastroscopes in dual site TNE clinics across a six month period to test and demonstrate the value of TNE in a Welsh health context.

20/12/22 - Project update

The TNE trial clinics have now concluded at Llandough & Royal Glamorgan Hospital. They were operational between December 2021 and June 2022. The work has achieved a number of key outcomes including training five members of staff across two different health boards to be proficient in performing transnasal endoscopy and delivering an efficient diagnostic service for over 150 patients.

Live webinar: Introducing Transnasal Endoscopy in Wales

DATE: Wednesday 25th January 2023
TIME: 17:30 – 19:00

In this webinar hosted by Olympus Medical, Hasan Haboubi and colleagues from Cardiff & Vale and Cwm Taf Morgannwg University Health Boards provided an overview of the diagnostic procedure, the evaluation insights from clinics in Llandough & Royal Glamorgan Hospital, and gave advice on how to implement a TNE service.

A recording of the webinar is available to watch here.


Related projects

Introducing CytoSponge in Wales

View all