Skip to main content
SpringerLink
Log in

Complications of Gastrointestinal Endoscopy

  • Chapter
Iatrogenic Gastrointestinal Complications

Part of the book series: Radiology of Iatrogenic Disorders ((IATROGENIC))

Abstract

The technical refinements and widespread application of modern flexible fiberoptic endoscopes have significantly improved the diagnosis of gastrointestinal disorders. Advances in the last several years permit panendoscopy of the esophagus, stomach, and duodenum and endoscopy of the entire large intestine, each in a single examination with minimal patient distress and added optical resolution and visibility. Nevertheless, some of the resultant iatrogenic trauma may not be readily apparent to the endoscopist during the procedure, or its clinical manifestation may be delayed. Radiologic evaluation may document many of the major gastrointestinal complications of fiberoptic endoscopy and their extent.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Mandelstam P, Sugawa C, Silvis SE, et al: Complications associated with esophago-gastroduo-denoscopy and with esophageal dilation. Gastrointest Endosc 23: 16–19, 1976

    Article  PubMed  CAS  Google Scholar 

  2. Meyers MA, Ghahremani GG: Complications of fiberoptic endoscopy. I. Esophagoscopy and gas-troscopy. Radiology 115: 293–300, 1975

    PubMed  CAS  Google Scholar 

  3. Palmer E: Discussion of Katz (4)

    Google Scholar 

  4. Katz D: Morbidity and mortality in standard and flexible gastrointestinal endoscopy. Gastrointest Endosc 15:134, 136, 138, 140–141, 1969

    Google Scholar 

  5. Berry BE, Ochsner JL: Perforation of the esophagus. A 30 year review. J Thorac Cardiovasc Surg 65: 1–7, 1973

    PubMed  CAS  Google Scholar 

  6. Foster JH, Jolly PC, Sawyers JL et al: Esophageal perforation: Diagnosis and treatment. Ann Surg 161: 701–709, 1965

    Article  PubMed  CAS  Google Scholar 

  7. Wychulis AR, Fontana RS, Payne WS: Instrumental perforations of the esophagus. Dis Chest 55: 184–189, 1969

    PubMed  CAS  Google Scholar 

  8. Anselm K, Shartsis JM, Carandang NV, et al: Perforation of the esophagus with the gastro-camera fiberscope. Am J Dig Dis 15: 311–315, 1970

    Article  PubMed  CAS  Google Scholar 

  9. Davis JS: Esophageal perforation by the gastro-camera gastroscope. Gastrointest Endosc 15: 201–203, 1969

    PubMed  CAS  Google Scholar 

  10. Sealy WC: Rupture of the esophagus. Am J Surg 105: 505–510, 1963

    Article  PubMed  CAS  Google Scholar 

  11. Leigh TF, Achord JL: Pharyngeal and esperforations during instrumentation. Am J Roentgenol 91: 757–765, 1964

    CAS  Google Scholar 

  12. Gerard FP, Sabety AM, Trillo RA, et al: Esophageal perforation. Arch Surg 96: 414–419, 1968

    PubMed  CAS  Google Scholar 

  13. Youngs J, Nicoloff D: Management of esophageal perforation. Surgery 65: 264–268, 1969

    PubMed  CAS  Google Scholar 

  14. Meyers MA, Ghahremani GG: Complications of gastrointestinal fiberoptic endoscopy. Gastrointest Radiol 2: 273–280, 1977

    Article  PubMed  CAS  Google Scholar 

  15. Mosher HP: The lower end of the oesophagus at birth and in the adult. J Laryngol Otol 45: 161–180, 1930

    Article  Google Scholar 

  16. Cohen G, Katz J: The importance of radiographic examination of the oesophagus and routine chest radiography after oesophagoscopy. S Afr Med J 34: 273–274, 1960

    PubMed  CAS  Google Scholar 

  17. Abrams HS: Esophagorespiratory fistulae. Arch Otolaryngol 60: 371–374, 1954

    CAS  Google Scholar 

  18. Kavin H, Schneider J: Impaction of fibreoptic gastroscope in the oesophagus: An unusual com–plication of gastroscopy. S Afr Med J 44: 478–479, 1970

    PubMed  CAS  Google Scholar 

  19. Falkenstein DB, Hsu KD, Dagradi AE, et al: Repetitive endoscopic accidents and instrument malfunction. Gastrointest Endosc 23: 206–208, 1977

    Article  PubMed  CAS  Google Scholar 

  20. Parker LS: Impacted fibrescope in the oesophagus. J Laryngol Otol 83: 1123–1125, 1969

    Article  PubMed  CAS  Google Scholar 

  21. Bralow SP: Fibrogastroscopic technic for examination of the gastric fundus. Am J Dig Dis 12:653–656, 1967ophageal

    Google Scholar 

  22. Cohen NN: An unusual complication of the fiberscope. Gastrointest Endosc 11: 19, 1964

    CAS  Google Scholar 

  23. Braucher RE, Kirsner JB: Case report: Impacted fiberscope. Gastrointest Endosc 12: 20–22, 1965

    PubMed  CAS  Google Scholar 

  24. Burke EL, Roling GT: Reflections on retroflexions. Gastrointest Endosc 17: 99–100, 1971

    PubMed  CAS  Google Scholar 

  25. Calem WS: Perforation of the stomach during gastroscopy. Am J Surg 103: 640–645, 1962

    Article  PubMed  CAS  Google Scholar 

  26. Taylor H: Difficulties and dangers in gastroscopy. Gastroenterology 35: 79–91, 1958

    PubMed  CAS  Google Scholar 

  27. Katz D, Selesnick S: Massive pneumoperitoneum and pneumoretroperitoneum after gastroscopy. Report of a case and review of the literature. Am J Dig Dis 1: 512–520, 1956

    Article  PubMed  CAS  Google Scholar 

  28. Fierst SM, Robinson HM, Lasagna L: Interstitial gastric emphysema following gastroscopy. Its relation to syndrome of pneumoperitoneum and generalized emphysema with no evident perforation. Ann Intern Med 34: 1202–1212, 1951

    PubMed  CAS  Google Scholar 

  29. Myhre J, Wilson JA: A study on the occurrence of pneumoperitoneum after gastroscopy and the observance of intestinal emphysema of the stomach. Gastroenterology 11: 115–119, 1948

    PubMed  CAS  Google Scholar 

  30. Sanders MG, Schimmel EM: Perforation of a gastric remnant following fiber-optic gastroscopy. Gastrointest Endosc 17: 186–187, 1971

    PubMed  CAS  Google Scholar 

  31. Moldow R, Waye JD, Cohen N, et al: Pseudo-acute abdomen following gastroscopy. Gastrointest Endosc 17: 117–118, 1971

    PubMed  CAS  Google Scholar 

  32. Rastogi H, Brown CH: Pseudo acute abdomen following gastroscopy. Gastrointest Endosc 14: 16–18, 1967

    PubMed  CAS  Google Scholar 

  33. Palmer ED, Boyce HW Jr: Manual of Gastrointestinal Endoscopy. Baltimore: Williams & Wilkins 1964, p 74

    Google Scholar 

  34. Slaughter RL, Boyce HW Jr: Submaxillary salivary gland swelling developing during peroral endoscopy. Gastroenterology 57: 83–88, 1969

    PubMed  CAS  Google Scholar 

  35. Meyers MA, Ghahremani GG: Complications of fiberoptic endoscopy. II. Colonoscopy. Radiology 115: 301–307, 1975

    CAS  Google Scholar 

  36. Waye JD: Colonoscopy. Surg Clin North Am 52: 1013–1024, 1972

    PubMed  CAS  Google Scholar 

  37. Overholt BF: Flexible fiberoptic sigmoidoscopy. Technique and preliminary results. Cancer 28: 123–126, 1971

    Article  PubMed  CAS  Google Scholar 

  38. Rogers BHG, Silvis SE, Nebel OT, et al: Complications of flexible fiberoptic colonoscopy and polypectomies. Gastrointest Endosc 22: 73–77, 1975

    Article  PubMed  CAS  Google Scholar 

  39. Wolff WI, Shinya H: Polypectomy via the fiber-optic colonoscope. Removal of neoplasms beyond reach of the sigmoidoscope. N Engl J Med 288: 329–332, 1973

    Article  PubMed  CAS  Google Scholar 

  40. Bond JH, Levitt MD: Factors affecting the concentration of combustible gases in the colon during colonoscopy. Gastroenterology 68: 1445–1448, 1975

    PubMed  Google Scholar 

  41. Spencer RJ, Coates HL, Anderson MJ Jr: Colonoscopic polypectomies. Mayo Clin Proc 49: 40–43, 1974

    PubMed  CAS  Google Scholar 

  42. Ecker MD, Goldstein M, Hoexter B, et al: Benign pneumoperitoneum after fiberoptic colonoscopy. Gastroenterology 73: 226–230, 1977

    PubMed  CAS  Google Scholar 

  43. Taylor R, Weakley FL, Sullivan BH Jr: Non-operative management of colonoscopic perforation with pneumoperitoneum. Gastrointest Endosc 24: 124–125, 1978

    Article  PubMed  CAS  Google Scholar 

  44. Meyers MA, Volberg F, Katzen B, et al: Haustral anatomy and pathology: A new look. II. Roentgen interpretation of pathological alterations. Radiology 108: 505–512, 1973

    PubMed  CAS  Google Scholar 

  45. Meyers MA: Radiological features of the spread and localization of extraperitoneal gas and their relationship to its source. An anatomical approach. Radiology 111: 17–26, 1974

    PubMed  CAS  Google Scholar 

  46. Lezak MB, Goldhamer M: Retroperitoneal emphysema after colonoscopy. Gastroenterology 66: 118–120, 1974

    PubMed  CAS  Google Scholar 

  47. Livstone EM, Cohen GM, Troncale FJ, et al: Diastatic serosal lacerations: An unrecognized complication of colonoscopy. Gastroenterology 67: 1245–1247, 1974

    PubMed  CAS  Google Scholar 

  48. Wu TK: Occult injuries during colonoscopy. Gastrointest Endosc 24: 236–238, 1978

    Article  PubMed  CAS  Google Scholar 

  49. Sjogren RW, Johnson LF, Butler ML, et al: Serosal laceration: A complication of intra-operative colonoscopy explained by transmural pressure gradients. Gastrointest Endosc 24: 239–242, 1978

    Article  PubMed  CAS  Google Scholar 

  50. Lambling A, Truffert L: L’explosion des gas intestinaux au cours de l’électro-coagulation intrarectale. Un cas de rupture sigmöidienne mortelle. Arch Mal Appl Dig 33: 148, 1944

    Google Scholar 

  51. Stucker, FJ, Molzberger H: Die Darmgasexplosion als seltene Ursache einer traumatischen Dickdarmperforation. Chirurg 45: 373–375, 1974

    PubMed  CAS  Google Scholar 

  52. Bond JH, Levy M, Levitt MD: Explosion of hydrogen gas in the colon during proctosigmoidoscopy. Gastrointest Endosc 23: 41–42, 1976

    Article  PubMed  CAS  Google Scholar 

  53. Bigard M-A, Gaucher P, Lassalle C: Fatal colonic explosion during colonoscopic polypectomy. Gastroenterology 77: 1307–1310, 1979

    PubMed  CAS  Google Scholar 

Download references

Authors
  1. Morton A. Meyers
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Gary G. Ghahremani
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

Copyright information

© 1981 Springer-Verlag New York Inc.

About this chapter

Cite this chapter

Meyers, M.A., Ghahremani, G.G. (1981). Complications of Gastrointestinal Endoscopy. In: Iatrogenic Gastrointestinal Complications. Radiology of Iatrogenic Disorders. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-5853-7_2

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-5853-7_2

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-5855-1

  • Online ISBN: 978-1-4612-5853-7

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation