Medicine of the Future in America

Endoscopic perforation rates: Gastroscopy

upper gastrointestinal perforationsEight 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
7 M 47 Esophageal dilation Achalasia No No No
8 M 67 Esophageal dilation Esophageal carcinoma No No No

F Female; M Male

This entry was posted in Endoscopic perforation and tagged Colonoscopy, Complication, Endoscopy, Gastroscopy, Morbidity, Mortality, Perforation.
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