INTERSTITIAL GASTRIC EMPHYSEMA FOLLOWING GASTROSCOPY; ITS RELATION TO THE SYNDROME OF PNEUMOPERITONEUM AND GENERALIZED EMPHYSEMA WITH NO EVIDENT PERFORATION
Authors: S M FIERST, H M ROBINSON, L LASAGNA
Journal: Annals of Internal Medicine (1951)

Article1 May 1951INTERSTITIAL GASTRIC EMPHYSEMA FOLLOWING GASTROSCOPY; ITS RELATION TO THE SYNDROME OF PNEUMOPERITONEUM AND GENERALIZED EMPHYSEMA WITH NO EVIDENT PERFORATIONSIDNEY M. FIERST, M.D., HYMAN M. ROBINSON, M.D., LOUIS LASAGNA, M.D.SIDNEY M. FIERST, M.D.Search for more papers by this author, HYMAN M. ROBINSON, M.D.Search for more papers by this author, LOUIS LASAGNA, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-34-5-1202 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPneumomediastinum or pneumoperitoneum that appears after gastroscopy is often attributed to a rupture of the esophagus or stomach during instrumentation. Since the introduction of the rubber-tipped flexible gastroscope, however, this complication has been encountered only infrequently. In over 3,000 gastroscopic examinations, representing the combined experience of the authors, such an accident has yet to occur. Only 10 perforations in 22,351 examinations were reported to Schindler1by 60 gastroscopists in response to a questionnaire. Of the eight gastric perforations, five were with the sponge-tip and three with the finger-tip gastroscope. The other two cases were a perforation of the hypopharynx and...Bibliography1. Schindler R: Results of questionnaire on fatalities in gastroscopy, Am. J. Digest. Dis. 7: 293, 1940. CrossrefGoogle Scholar2. SchiffStevensGoodman LRJS: Pneumoperitoneum following the use of the flexible gastroscope, Ann. Int. Med. 14: 1283, 1941. LinkGoogle Scholar3. Schindler R: Passage of air through the gastric wall during gastroscopy with no wound demonstrable three hours later, Gastroenterology 5: 35, 1945. Google Scholar4. 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Slobodkin M: Personal communication—to be reported. Google Scholar10. BrownFine SA: Diffuse emphysema following a double contrast enema, Radiology 37: 228, 1941. CrossrefGoogle Scholar11a. Macklin CC: Transport of air along sheaths of pulmonic vessels from alveoli to mediastinum: clinical implication, Arch. Int. Med. 64: 913, 1939. b. Macklin, M. T., and Macklin, C. C.: Malignant emphysema of lungs and mediastinum as important occult complication in many respiratory diseases and other conditions: interpretation in light of laboratory experiment, Medicine 23: 281, 1944. CrossrefGoogle Scholar12. MyhreWilson JJA: A study on the occurrence of pneumoperitoneum after gastroscopy, and the observance of interstitial emphysema of the stomach, Gastroenterology 11: 115, 1948. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication June 7, 1949.From the Medical Services, Maimonides Hospital, Brooklyn, New York, and the Department of Medicine, State University of New York Medical College at New York, Dept. of Medicine. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byComplication inhabituelle de la ventilation non invasive : la pneumatose œsogastrique associée à un emphysème sous-cutanéPneumomediastinum and the aortic nipple: The clinical relevance of the left superior intercostal veinGastric Emphysema Related with Superior Mesenteric Artery SyndromeTroubles with Stomach Bubbles? 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