LEON SCHIFF, M.D., F.A.C.P.; RICHARD J. STEVENS, M.D.; SANDER GOODMAN, M.D.
Perforation of the stomach is said to occur very infrequently following the use of the flexible gastroscope. According to Schindler and Renshaw,1 this 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.3 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
SCHIFF L, STEVENS RJ, GOODMAN S. PNEUMOPERITONEUM FOLLOWING USE OF THE FLEXIBLE GASTROSCOPE1. Ann Intern Med. ;14:1283–1287. doi: 10.7326/0003-4819-14-7-1283
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Published: Ann Intern Med. 1941;14(7):1283-1287.
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