Gastroscopy - The Problems Encountered

Perforation of esophagus or stomach:

Up to 0.1% of all Esophagogastroduodenoscopy's . The upper esophagus above the cricopharynx appears most vulnerable. Other risk factors are esophageal cancer, strictures, or cervical osteophytes.

Bleeding:

Considered rare even after biopsies, at 0.3/1000 cases. In most cases, bleeding is not due to a coagulation defect, rather it results from biopsy of friable tissue.

Cardiopulmonary complications:

Significant cardiac arrhythmias are distinctly unusual. If a Holter monitor is placed, transient rhythm disturbances such as sinus tachycardia, premature ventricular contractions (PVCs), premature atrial contractions (PACs), and rarely ischemic changes may be recorded in 22% of cases. Few adverse clinical outcomes have been reported.

Lung infections due to vomiting and aspiration during the procedure.

References:

Gastroscopy - Overview - (https://www.nhs.uk/conditions/gastroscopy/)
Gastroscopy (Endoscopy) - (https://healthywa.wa.gov.au/Articles/F_I/Gastroscopy-endoscopy)
Esophagogastroduodenoscopy - (https://www.ncbi.nlm.nih.gov/books/NBK532268/)
Indications and Contraindications for Upper Gastrointestinal Endoscopy - (https://www.ncbi.nlm.nih.gov/pubmed/8069470)
What Happens During a Gastroscopy? - (https://www.ncbi.nlm.nih.gov/books/NBK310264/)
Gastroscopy Upper Scope Test - (https://www.permiangi.com/gastroscopy-upper-scope-test.html)

Published on Sep 23, 2014
Last Updated on Dec 12, 2019

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