Pulmonary Aspiration after Fibre-endoscopy of the Upper Gastrointestinal Tract

Prout, B. J.; Metreweli, C.

doi:10.1136/bmj.4.5835.269

Cited by 58 publications

(15 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…There is a small but definite risk of aspiration following topical pharyngeal anaesthesia that may lead to post procedure pneumonia and therefore its use in the elderly and infirm is to be discouraged and patients should be warned not to take anything by mouth until the anaesthetic has worn off. 5,7 Statement #2. Un-sedated OGD and colonoscopy are feasible in selected patients, but this requires commitment on the part of both the patient and the provider.…”

Section: Position Statementsmentioning

confidence: 98%

Sedation in digestive endoscopy: the Athens international position statements

Cohen

Ladas

Vargo

et al. 2010

Aliment Pharmacol Ther

View full text Add to dashboard Cite

show abstract

Section: Position Statementsmentioning

confidence: 98%

Sedation in digestive endoscopy: the Athens international position statements

Cohen

Ladas

Vargo

et al. 2010

Aliment Pharmacol Ther

View full text Add to dashboard Cite

show abstract

“…Alternatively, antico agulant or thrombolytic therapy for acute myocardial infarction may induce gastroin testinal bleeding. The patient after myocar dial infarction is particularly susceptible to endoscopic cardiopulmonary complications including respiratory depression [23,30,31], angina [17], hypotension or hypertension [16], and arrhythmias [15, 16. 17, 19].…”

Section: Potential Risksmentioning

confidence: 99%

Gastrointestinal Endoscopy in High-Risk Patients

Cappell¹

1996

Dig Dis

View full text Add to dashboard Cite

In America more than 100,000 high-risk patients/year have conditions normally evaluated by gastrointestinal endoscopy. This review analyzes the safety and efficacy of gastrointestinal endoscopy in high-risk patients. Endoscopy during pregnancy raises the unique issue of fetal safety. The safety of esophagogastroduodenoscopy (EGD) during pregnancy has been examined in a case-controlled study of 83 patients, a mailed survey of 73 patients, and case reports. The safety of sigmoidoscopy during pregnancy has been examined in a case-controlled study of 45 patients, a mailed survey of 26 patients, and case reports. These studies suggest that EGD and sigmoidoscopy are not contraindicated during pregnancy. For example, EGD should be performed for significant upper gastrointestinal bleeding. The safety of colonoscopy during pregnancy is inadequately analyzed. In a study of 34 EGDs performed within 3 weeks of myocardial infarction, no endoscopic complications occurred in 26 clinically stable patients with uncomplicated myocardial infarction. However, 3 major endoscopic complications occurred in 8 clinically unstable patients. In a study of 9 sigmoi-doscopies within 3 weeks of myocardial infarction, no sigmoidoscopic complications occurred in 7 clinically stable patients. Several studies have shown that EGD, sigmoidoscopy, or colonoscopy is safe in patients with advanced HIV infection. AIDS patients should generally be endoscoped with the same aggressiveness as other patients. However, endoscopy may be unwise in any terminal patient. No complication occurred in 60 patients undergoing EGD within 3 weeks of esophageal, gastric, or duodenal surgery. One minor complication occurred in 36 patients undergoing sigmoidoscopy within 3 weeks of colonic surgery. These results suggest that EGD or sigmoidoscopy is not contraindicated within 3 weeks of gastrointestinal surgery. No complications occurred in 53 chronic obstructive pulmonary disease patients undergoing EGD. EGD appears to be safe in chronic obstructive pulmonary disease patients without severe hypoxemia or acute bronchospasm. Emergency EGD can be performed in patients with severe hypoxemia after endotracheal intubation.

show abstract

“…With its increasing use, previously described complications , of which those of a respiratory nature are most prominent, could become more apparent. Cyanosis is not infrequently noted during the examination, respiratory depression or apnoea may result from the sedatives administered (Dundee and Haslett, 1970), and pulmonary aspiration can occur in up to 29 % of procedures (Prout and Metreweli, 1972). Electrocardiographic abnormalities have been demonstrated in a variable proportion of examinations (De Masi and Akdamar, 1969;Sturges and Krone, 1973; Py6rala et a!., 1973; Fujita and Kumura, 1975), particularly in the presence of ischaemic heart disease, and it has been suggested that hypoxia may be a contributory factor.…”

mentioning

confidence: 99%

Arterial blood gas tensions during upper gastrointestinal endoscopy.

Whorwell¹,

Smith²,

Foster³

1976

Gut

View full text Add to dashboard Cite

SUMMARY Arterial blood gas tensions were measured before and during upper gastrointestinal endoscopy, with (group 1) and without (group 2) sedation with intravenous diazepam. There was a highly significant fall in the PaO2, which occurred in both groups and was therefore not attributable to diazepam. Measurement of FEV1 and FVC before endoscopy had no predictive value for those patients whose PaO2 fell the most.

show abstract

Pulmonary Aspiration after Fibre-endoscopy of the Upper Gastrointestinal Tract

Cited by 58 publications

References 6 publications

Sedation in digestive endoscopy: the Athens international position statements

Sedation in digestive endoscopy: the Athens international position statements

Gastrointestinal Endoscopy in High-Risk Patients

Arterial blood gas tensions during upper gastrointestinal endoscopy.

Contact Info

Product

Resources

About