Complications of endoscopy of the upper gastrointestinal tract

A single-center experience

Herbert C. Wolfsen, Lois L. Hemminger, Sami R. Achem, David S. Loeb, Mark E. Stark, Ernest P. Bouras, Kenneth R. DeVault

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

OBJECTIVE: To evaluate prospectively the complications that occurred during consecutive endoscopies of the upper gastrointestinal tract. PATIENTS AND METHODS: We evaluated all endoscopies of the upper gastrointestinal tract (except endoscopic retrograde cholanglopancreatography and endosonography) performed at the Ambulatory Surgical Center at the Mayo Clinic in Jacksonville, Fla, between January 1999 and June 2002. A staff gastroenterologist with or without a trainee performed these procedures. Therapeutic procedures included esophageal band ligation, injection sclerotherapy, botulinum toxin injection, extended upper endoscopy, pneumatic balloon dilation, endoscopic mucosal resection, and endoscopic ablation using thermal laser, argon beam coagulator, or photodynamic therapy. All complications were tabulated prospectively as per mandatory state licensure reporting. RESULTS: Complications after diagnostic endoscopy of the upper gastrointestinal tract were related to anesthesia in 2 of the 12,841 patients. Perforations in 5 patients were associated with esophageal dilation (2), resection of duodenal lesions (2), or passage of a side-viewing instrument into the duodenum (1). No deaths occurred. CONCLUSIONS: Diagnostic endoscopy of the upper gastrointestinal tract is safe, with a complication rate of less than 1 per 5000 cases. Therapeutic endoscopy increases the risk of complications. Compared with complication rates published previously, our results from a single center indicate a favorable reduction in complications related to endoscopy of the upper gastrointestinal tract.

Original languageEnglish (US)
Pages (from-to)1264-1267
Number of pages4
JournalMayo Clinic Proceedings
Volume79
Issue number10
StatePublished - 2004

Fingerprint

Upper Gastrointestinal Tract
Endoscopy
Dilatation
Endosonography
Injections
Sclerotherapy
Botulinum Toxins
Argon
Photochemotherapy
Licensure
Duodenum
Ligation
Lasers
Anesthesia
Hot Temperature
Therapeutics

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Wolfsen, H. C., Hemminger, L. L., Achem, S. R., Loeb, D. S., Stark, M. E., Bouras, E. P., & DeVault, K. R. (2004). Complications of endoscopy of the upper gastrointestinal tract: A single-center experience. Mayo Clinic Proceedings, 79(10), 1264-1267.

Complications of endoscopy of the upper gastrointestinal tract : A single-center experience. / Wolfsen, Herbert C.; Hemminger, Lois L.; Achem, Sami R.; Loeb, David S.; Stark, Mark E.; Bouras, Ernest P.; DeVault, Kenneth R.

In: Mayo Clinic Proceedings, Vol. 79, No. 10, 2004, p. 1264-1267.

Research output: Contribution to journalArticle

Wolfsen, HC, Hemminger, LL, Achem, SR, Loeb, DS, Stark, ME, Bouras, EP & DeVault, KR 2004, 'Complications of endoscopy of the upper gastrointestinal tract: A single-center experience', Mayo Clinic Proceedings, vol. 79, no. 10, pp. 1264-1267.
Wolfsen HC, Hemminger LL, Achem SR, Loeb DS, Stark ME, Bouras EP et al. Complications of endoscopy of the upper gastrointestinal tract: A single-center experience. Mayo Clinic Proceedings. 2004;79(10):1264-1267.
Wolfsen, Herbert C. ; Hemminger, Lois L. ; Achem, Sami R. ; Loeb, David S. ; Stark, Mark E. ; Bouras, Ernest P. ; DeVault, Kenneth R. / Complications of endoscopy of the upper gastrointestinal tract : A single-center experience. In: Mayo Clinic Proceedings. 2004 ; Vol. 79, No. 10. pp. 1264-1267.
@article{6e4ed7f2c7ec4ab19f0ede54d5dda58e,
title = "Complications of endoscopy of the upper gastrointestinal tract: A single-center experience",
abstract = "OBJECTIVE: To evaluate prospectively the complications that occurred during consecutive endoscopies of the upper gastrointestinal tract. PATIENTS AND METHODS: We evaluated all endoscopies of the upper gastrointestinal tract (except endoscopic retrograde cholanglopancreatography and endosonography) performed at the Ambulatory Surgical Center at the Mayo Clinic in Jacksonville, Fla, between January 1999 and June 2002. A staff gastroenterologist with or without a trainee performed these procedures. Therapeutic procedures included esophageal band ligation, injection sclerotherapy, botulinum toxin injection, extended upper endoscopy, pneumatic balloon dilation, endoscopic mucosal resection, and endoscopic ablation using thermal laser, argon beam coagulator, or photodynamic therapy. All complications were tabulated prospectively as per mandatory state licensure reporting. RESULTS: Complications after diagnostic endoscopy of the upper gastrointestinal tract were related to anesthesia in 2 of the 12,841 patients. Perforations in 5 patients were associated with esophageal dilation (2), resection of duodenal lesions (2), or passage of a side-viewing instrument into the duodenum (1). No deaths occurred. CONCLUSIONS: Diagnostic endoscopy of the upper gastrointestinal tract is safe, with a complication rate of less than 1 per 5000 cases. Therapeutic endoscopy increases the risk of complications. Compared with complication rates published previously, our results from a single center indicate a favorable reduction in complications related to endoscopy of the upper gastrointestinal tract.",
author = "Wolfsen, {Herbert C.} and Hemminger, {Lois L.} and Achem, {Sami R.} and Loeb, {David S.} and Stark, {Mark E.} and Bouras, {Ernest P.} and DeVault, {Kenneth R.}",
year = "2004",
language = "English (US)",
volume = "79",
pages = "1264--1267",
journal = "Mayo Clinic Proceedings",
issn = "0025-6196",
publisher = "Elsevier Science",
number = "10",

}

TY - JOUR

T1 - Complications of endoscopy of the upper gastrointestinal tract

T2 - A single-center experience

AU - Wolfsen, Herbert C.

AU - Hemminger, Lois L.

AU - Achem, Sami R.

AU - Loeb, David S.

AU - Stark, Mark E.

AU - Bouras, Ernest P.

AU - DeVault, Kenneth R.

PY - 2004

Y1 - 2004

N2 - OBJECTIVE: To evaluate prospectively the complications that occurred during consecutive endoscopies of the upper gastrointestinal tract. PATIENTS AND METHODS: We evaluated all endoscopies of the upper gastrointestinal tract (except endoscopic retrograde cholanglopancreatography and endosonography) performed at the Ambulatory Surgical Center at the Mayo Clinic in Jacksonville, Fla, between January 1999 and June 2002. A staff gastroenterologist with or without a trainee performed these procedures. Therapeutic procedures included esophageal band ligation, injection sclerotherapy, botulinum toxin injection, extended upper endoscopy, pneumatic balloon dilation, endoscopic mucosal resection, and endoscopic ablation using thermal laser, argon beam coagulator, or photodynamic therapy. All complications were tabulated prospectively as per mandatory state licensure reporting. RESULTS: Complications after diagnostic endoscopy of the upper gastrointestinal tract were related to anesthesia in 2 of the 12,841 patients. Perforations in 5 patients were associated with esophageal dilation (2), resection of duodenal lesions (2), or passage of a side-viewing instrument into the duodenum (1). No deaths occurred. CONCLUSIONS: Diagnostic endoscopy of the upper gastrointestinal tract is safe, with a complication rate of less than 1 per 5000 cases. Therapeutic endoscopy increases the risk of complications. Compared with complication rates published previously, our results from a single center indicate a favorable reduction in complications related to endoscopy of the upper gastrointestinal tract.

AB - OBJECTIVE: To evaluate prospectively the complications that occurred during consecutive endoscopies of the upper gastrointestinal tract. PATIENTS AND METHODS: We evaluated all endoscopies of the upper gastrointestinal tract (except endoscopic retrograde cholanglopancreatography and endosonography) performed at the Ambulatory Surgical Center at the Mayo Clinic in Jacksonville, Fla, between January 1999 and June 2002. A staff gastroenterologist with or without a trainee performed these procedures. Therapeutic procedures included esophageal band ligation, injection sclerotherapy, botulinum toxin injection, extended upper endoscopy, pneumatic balloon dilation, endoscopic mucosal resection, and endoscopic ablation using thermal laser, argon beam coagulator, or photodynamic therapy. All complications were tabulated prospectively as per mandatory state licensure reporting. RESULTS: Complications after diagnostic endoscopy of the upper gastrointestinal tract were related to anesthesia in 2 of the 12,841 patients. Perforations in 5 patients were associated with esophageal dilation (2), resection of duodenal lesions (2), or passage of a side-viewing instrument into the duodenum (1). No deaths occurred. CONCLUSIONS: Diagnostic endoscopy of the upper gastrointestinal tract is safe, with a complication rate of less than 1 per 5000 cases. Therapeutic endoscopy increases the risk of complications. Compared with complication rates published previously, our results from a single center indicate a favorable reduction in complications related to endoscopy of the upper gastrointestinal tract.

UR - http://www.scopus.com/inward/record.url?scp=4644351713&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=4644351713&partnerID=8YFLogxK

M3 - Article

VL - 79

SP - 1264

EP - 1267

JO - Mayo Clinic Proceedings

JF - Mayo Clinic Proceedings

SN - 0025-6196

IS - 10

ER -