SIDNEY M. FIERST, M.D.; HYMAN M. ROBINSON, M.D.; LOUIS LASAGNA, M.D.
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Pneumomediastinum 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 Schindler1 by 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
FIERST SM, ROBINSON HM, LASAGNA L. INTERSTITIAL GASTRIC EMPHYSEMA FOLLOWING GASTROSCOPY; ITS RELATION TO THE SYNDROME OF PNEUMOPERITONEUM AND GENERALIZED EMPHYSEMA WITH NO EVIDENT PERFORATION1. Ann Intern Med. ;34:1202–1212. doi: 10.7326/0003-4819-34-5-1202
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Published: Ann Intern Med. 1951;34(5):1202-1212.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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