Complications of upper gastrointestinal endoscopy in the gastrointestinal bleeder

Research output: Contribution to journalArticle

53 Scopus citations

Abstract

Esophagogastroduodenoscopy, even with modern flexible fiberscopes, is associated with occasional life-threatening complications including perforation, hemorrhage, and various cardiopulmonary events. In the upper gastrointestinal bleeder, especially the elderly or those with active bleeding, risks may be appreciably higher, especially with respect to pulmonary aspiration, other cardiopulmonary events, and rebleeding. The importance of a good history and physical examination with special attention to drug history, bleeding disorders, dysphagia, or underlying cardiac, pulmonary, or hepatic disease is crucial. Sedatives should be used with caution and in the minimal dose necessary to produce the desired effect. Nasal O2 should be used if hypoxia exists. EKG should be performed in all patients, and cardiac monitoring carried out during the procedure if the clinical status dictates. Resuscitative equipment should be readily available and the endoscopic team should be versed in its use. Careful explanation of the procedure is mandatory for good patient cooperation and safety. Finally, vital signs, color, and sensorum should be closely monitored by a nurse during the procedure and following it until sedation wears off.

Original languageEnglish (US)
Pages (from-to)S47-S54
JournalDigestive diseases and sciences
Volume26
Issue number7 Supplement
DOIs
StatePublished - Jul 1 1981

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

Fingerprint Dive into the research topics of 'Complications of upper gastrointestinal endoscopy in the gastrointestinal bleeder'. Together they form a unique fingerprint.

  • Cite this