Endoscopic Bubble Trouble

Hyperbaric Oxygen Therapy for Cerebral Gas Embolism During Upper Endoscopy

Jeffrey S Cooper, Jason Thomas, Shailender Singh, Tarra Brakke

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Gas embolism is a rare but potentially devastating complication of endoscopic procedures. We describe 3 cases of gas embolism which were associated with endoscopic procedures (esophagogastroduodenoscopy and endoscopic retrograde cholangiopancreatography). We treated these at our hyperbaric medicine center with 3 different outcomes: complete resolution, death, and disability. We review the literature regarding this unusual complication of endoscopy and discuss the need for prompt identification and referral for hyperbaric oxygen therapy. Additional adjunctive therapies are also discussed.

Original languageEnglish (US)
JournalJournal of Clinical Gastroenterology
DOIs
StateAccepted/In press - Jul 29 2016

Fingerprint

Intracranial Embolism
Air Embolism
Hyperbaric Oxygenation
Endoscopy
Digestive System Endoscopy
Endoscopic Retrograde Cholangiopancreatography
Referral and Consultation
Medicine
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)
  • Gastroenterology

Cite this

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abstract = "Gas embolism is a rare but potentially devastating complication of endoscopic procedures. We describe 3 cases of gas embolism which were associated with endoscopic procedures (esophagogastroduodenoscopy and endoscopic retrograde cholangiopancreatography). We treated these at our hyperbaric medicine center with 3 different outcomes: complete resolution, death, and disability. We review the literature regarding this unusual complication of endoscopy and discuss the need for prompt identification and referral for hyperbaric oxygen therapy. Additional adjunctive therapies are also discussed.",
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