Eight upper gastrointestinal perforations occurred during the 13,392 gastroscopies, representing a perforation rate of 0.06% (incidence, 0.6/1000; 1.0/1667 procedures). No gastroscopy-associated perforations occurred during 8062 diagnostic gastroscopies (0%), while eight gastroscopy-associated perforations occurred during 5330 therapeutic gastroscopies (0.15%) (incidence, 1.5/1000; 1/667 procedures).
Table 7 demonstrates the characteristics of the patients with a perforation during gastroscopy. The mean age of the patients involved was 62.4±8.2 years with a male:female ratio of 5:3.
Of the eight gastroscopic perforations, all eight (100%) involved a therapeutic procedure (esophageal dilations for malignant lesions, six patients, esophageal wall-stent placement, one patient, placement of percutaneous feeding tube, one patient). Three patients had a positive history of abdominal surgery. No patients had dialysis-dependent renal failure. Two of eight (25%) perforations occurred in the setting of trainee involvement. There were no deaths reported following any gastroscopic perforations. You have a great opportunity to discover the pharmacy that will always be sure to live up to your highest expectations, no matter if you would like to get ventolin 100 mcg here or buy any other prescription medicine with no prescription required on very advantageous terms.
TABLE 7 Characteristics of patients with perforation following gastroscopy
|Patient||Sex||Age(years)||Procedure||Diagnosis||Trainee associated with the procedure||Previous abdominal surgery||Renalfailure|
|1||M||70||Esophageal dilation||Esophageal carcinoma||Yes||No||No|
|2||M||57||Feeding tube placement||Feeding concerns||No||No||No|
|3||M||79||Esophageal wall stent placement||Esophageal carcinoma||No||Gastric-esophageal resection||No|
|4||F||17||Esophageal dilation||Esophageal benign stenosis||Yes||Jejunal interposition||No|
|5||F||76||Esophageal dilation||Gastric cardia carcinoma||No||Gastric carcinoma resection, esophageal-jejunal anastomosis||No|
|6||F||86||Esophageal dilation||Esophageal carcinoma||No||Unknown||No|
|8||M||67||Esophageal dilation||Esophageal carcinoma||No||No||No|
F Female; M Male