PNEUMOPERITONEUM FOLLOWING USE OF THE FLEXIBLE GASTROSCOPE
Authors: Leon Schiff, Richard J. Stevens, Sander Goodman
Journal: Annals of Internal Medicine (1941)

Case Reports1 January 1941PNEUMOPERITONEUM FOLLOWING USE OF THE FLEXIBLE GASTROSCOPELEON SCHIFF, M.D., F.A.C.P., RICHARD J. STEVENS, M.D., SANDER GOODMAN, M.D.LEON SCHIFF, M.D., F.A.C.P.Search for more papers by this author, RICHARD J. STEVENS, M.D.Search for more papers by this author, SANDER GOODMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-14-7-1283 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptPerforation of the stomach is said to occur very infrequently following the use of the flexible gastroscope. According to Schindler and Renshaw,1this accident is known to have occurred five times in a total series of four thousand examinations carried out independently by Henning, Gutzeit, Moutier, Benedict, Schloss, and Schindler. In every instance an instrument with a "sponge tip" was used, and in none was the outcome fatal.‡In two instances the stomach itself was reported to be "apparently normal," and recovery occurred without surgical intervention. In Schindler's own experience perforation has occurred in three cases of gastric carcinoma. The...Bibliography1. SCHINDLERRENSHAW RJF: Experimental study with certain tips used on the Wolf-Schindler flexible gastroscope, Am. Jr. Digest. Dis. and Nutr., 1936, iii, 747-751. CrossrefGoogle Scholar2. BERGHBOWERSWANGENSTEEN GSWFOH: Perforation of the gastrointestinal tract: an experimental study of factors influencing the development of peritonitis, Surgery, 1937, ii, 196. Google Scholar3. SCHINDLER R: Personal communication to the authors. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Cincinnati, Ohio*Received for publication August 3, 1939.From the Department of Internal Medicine, University of Cincinnati Medical School, and the Gastric Laboratory, Cincinnati General Hospital.†Justin A. Rollman Fellows in Internal Medicine, 1938-1939, and 1937-1938, respectively.‡Bergh, Bowers, and Wangensteen2 mention one instance of perforation in their clinic. Their patient developed pneumoperitoneum without evidence of peritonitis and recovered without operation.§This represents the only recognized instance of perforation in our experience which includes more than five hundred examinations. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited bySpontaneous pneumoperitoneum and other nonsurgical causes of intraperitoneal free gasRetroperitoneal and mediastinal emphysema as a complication of colonoscopyAnother look at pneumoperitoneumABDOMINAL GAS: A ROENTGEN APPROACHPerforation of the stomach during gastroscopyMassive Pneumoperitoneum And Pneumoretroperitoneum After GastroscopyMediastinal abscess following instrumental perforation of the esophagusGastroscopy and Delayed Rupture of the SpleenPneumoperitoneum Following Gastroscopy with Spontaneous Recovery on Conservative TherapyDie Krankheiten des MagensManagement of Pneumoperitoneum After GastroscopyINTERSTITIAL GASTRIC EMPHYSEMA FOLLOWING GASTROSCOPY; ITS RELATION TO THE SYNDROME OF PNEUMOPERITONEUM AND GENERALIZED EMPHYSEMA WITH NO EVIDENT PERFORATION*SIDNEY M. FIERST, M.D., HYMAN M. ROBINSON, M.D., LOUIS LASAGNA, M.D.Gastroscopic Perforation of the Esophagus and StomachPneumoperitoneum Following Gastroscopy without Demonstrable Perforation at LaparotomyPneumoperitoneum Following Gastroscopy Apparently without PerforationThe value of gastroscopy as a diagnostic aid in gastric lesionsPerforation of the stomach with the flexible gastroscope 1 January 1941Volume 14, Issue 7Page: 1283-1287KeywordsGastroenterology and hepatologyHospital medicinePeritonitisResearch laboratoriesStomach ePublished: 1 December 2008 Issue Published: 1 January 1941 PDF downloadLoading ...