| Air embolism in gastroscopy. | |
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MedLine Citation:
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PMID: 19683606 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Endoscopy of the upper gastrointestinal tract (GIT) is a common medical examination. One of the rare but serious, albeit fatal complications of gastroscopy is venous air embolism. We performed a literature search with the keywords "air embolism", "gastroscopy", and "endoscopy". There were 14 cases of air embolism associated with gastroscopy. The median age was 66 years old (range 4 months-80 years old). The main presenting symptoms were neurological (n=9) and respiratory compromise (n=7). The main investigation used for diagnosis were CT (n=10) and ECHO (n=6). The main risk factor identified was mucosal breach (n=9). Hyperbaric oxygen therapy was used in four cases. The mortality rate is 57.1%. Air embolism is a very rare complication and is often overlooked. Rapid diagnosis is vital for successful treatment. It should be considered in any patient with sudden onset of severe cardiopulmonary and/or neurologic decompensation during gastroscopy. |
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Authors:
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Jennifer F Ha; Emma Allanson; Harsha Chandraratna |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2009-08-14 |
Journal Detail:
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Title: International journal of surgery (London, England) Volume: 7 ISSN: 1743-9159 ISO Abbreviation: Int J Surg Publication Date: 2009 Oct |
Date Detail:
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Created Date: 2009-11-06 Completed Date: 2010-01-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101228232 Medline TA: Int J Surg Country: England |
Other Details:
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Languages: eng Pagination: 428-30 Citation Subset: IM |
Affiliation:
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Armadale Health Service, 3056 Albany Highway, Armadale, Western Australia 6112, Australia. jenha81@yahoo.com.au |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Embolism, Air
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etiology* Fatal Outcome Female Gastric Fistula / diagnosis* Gastroscopy / adverse effects* Humans Middle Aged |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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