Gastroenterology + Nutrition

Pediatric Transnasal Endoscopy (TNE) Program

The pediatric Transnasal Endoscopy (TNE) program at Tufts Children’s Hospital is the first and only program in Massachusetts that can evaluate children who need an upper endoscopy without the risk and other potential difficulties of general anesthesia. Our team looks forward to working with your family to determine if this novel approach is a good fit for your child.

What is Transnasal Endoscopy?

When your child’s gastroenterologist performs a TNE, they can obtain the same information as a traditional endoscopy but without the need for general anesthesia. The patient’s nose and throat are numbed and the smallest available endoscopy scope is passed through the nose and into the esophagus/swallowing tube as well as into the stomach and intestine, if needed.  As with a traditional endoscopy, the tissue is viewed with a camera and small biopsy samples are taken.

Who can have a Transnasal Endoscopy?

Children 8 years old and older, adolescents, and young adults may be eligible for this procedure. It is typically used to monitor known conditions such as allergic/eosinophilic esophagitis (also known as “EoE”), gastritis and celiac disease. Your pediatric GI doctor will help determine if this approach is appropriate for your child.

What are the benefits and risks of Transnasal Endoscopy?

Transnasal Endoscopy is a quick procedure that does not require general anesthesia. Once the procedure is complete, your child can leave our center and return to all of their usual activities the same day. An IV is not generally required. Patients also spend less time without eating/drinking before the procedure. For patients whose condition requires frequent endoscopies, many families are pleased to avoid general anesthesia exposure.

During the TNE procedure, patients may experience some pain and discomfort as the scope passes through the nose. We use numbing medication in the nose and back of the throat to help minimize this. Our team of physicians, nurses and ChildLife specialists will ensure your child is as comfortable as possible.

How can I find out more?

If you are already a Tufts Children’s Hospital Pediatric GI patient, please reach out to your child’s physician. We welcome new patients to our practice who are interested in learning about our first-in-Boston Pediatric Transnasal Endoscopy Program.  

Garrett Zella, MD

Garrett Zella, MD

Accepting New Patients

Virtual Appointments Available

Title(s): Chief, Pediatric Gastroenterology and Nutrition; Pediatric Gastroenterologist; Assistant Professor, Tufts University School of Medicine
Department(s): Pediatrics, Pediatric Gastroenterology and Nutrition
Appt. Phone: 617-636-3266
Fax #: 617-636-8718

General gastroenterology and nutrition, inflammatory bowel disease, gastrointestinal complications of neurologic disease, other general pediatric GI and nutrition disorders

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Stanley  Lau, MD

Stanley Lau, MD

Accepting New Patients

Virtual Appointments Available

Title(s): Pediatric Gastroenterologist; Assistant Professor, Pediatrics, Tufts University School of Medicine
Department(s): Pediatrics, Pediatric Gastroenterology and Nutrition
Appt. Phone: 617-636-3266
Fax #: 617-636-8718

General gastroenterology and nutrition, inflammatory bowel disease, celiac disease, eosinophilic esophagitis, other general pediatric GI and nutrition disorders

View Full Profile for Stanley Lau, MD

Marcella C. Radano, MD

Marcella C. Radano, MD

Accepting New Patients

Virtual Appointments Available

Title(s): Pediatric Gastroenterologist; Assistant Professor, Tufts University School of Medicine
Department(s): Pediatrics, Pediatric Gastroenterology and Nutrition
Appt. Phone: 617-636-3266
Fax #: 617-636-8718

General pediatric gastroenterology, celiac disease, inflammatory bowel disease, allergic disease of the GI tract

View Full Profile for Marcella C. Radano, MD

Khoa D. Tran, MD

Khoa D. Tran, MD

Accepting New Patients

Virtual Appointments Available

Title(s): Pediatric Gastroenterologist; Assistant Professor, Tufts University School of Medicine
Department(s): Pediatrics, Pediatric Gastroenterology and Nutrition
Appt. Phone: 617-636-3266
Fax #: 617-636-8718

Neurogastroenterology, motility, general pediatric gastroenterology, chronic constipation, gastro-esophageal reflux/pH studies, other general pediatric GI and nutrition disorders

View Full Profile for Khoa D. Tran, MD