Complications of upper GI endoscopy.

This is one of a series of statements discussing the utilization of gastrointestinal endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy prepared this text. In preparing this guideline, a MEDLINE literature search was performed, and additional references were obtained from the bibliographies of the identified articles and from recommendations of expert consultants. When little or no data exist from well-designed prospective trials, emphasis is given to results from large series and reports from recognized experts. Guidelines for appropriate utilization of endoscopy are based on a critical review of the available data and expert consensus. Further controlled clinical studies are needed to clarify aspects of this statement, and revision may be necessary as new data appear. Clinical consideration may justify a course of action at variance to these recommendations.

[1]  E. Strong,et al.  Percutaneous Endoscopic Gastrostomy and Jejunostomy for Long-Term Feeding in Patients with Cancer of the Head and Neck , 1989, Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery.

[2]  L. Cipolletta,et al.  Prophylactic sclerotherapy of high‐risk esophageal varices: Results of a multicentric prospective controlled trial , 1988, Hepatology.

[3]  E. Dimagno,et al.  Percutaneous endoscopic gastrostomy. Indications, success, complications, and mortality in 314 consecutive patients. , 1987, Gastroenterology.

[4]  J. Boylan,et al.  Long-Term Results of Endoscopic Balloon Dilatation for Gastric Outlet Obstruction , 1999, Digestive Diseases and Sciences.

[5]  M. Catalano,et al.  High‐grade malignant stricture is predictive of esophageal tumor stage risks of endosonographic evaluation , 1993, Cancer.

[6]  N. Vakil,et al.  A controlled trial of an expansile metal stent for palliation of esophageal obstruction due to inoperable cancer. , 1993, The New England journal of medicine.

[7]  H. El-Newihi,et al.  Endoscopic Ligation Compared with Sclerotherapy for the Treatment of Bleeding Esophageal Varices , 1993, Annals of Internal Medicine.

[8]  L. Rabeneck,et al.  Long-term outcomes of patients receiving percutaneous endoscopic gastrostomy tubes , 1996, Journal of general internal medicine.

[9]  C. Lightdale,et al.  Percutaneous endoscopic jejunostomy in cancer patients with previous gastric resection. , 1987, Gastrointestinal endoscopy.

[10]  S. Sarin,et al.  Comparison of the two time schedules for endoscopic sclerotherapy: a prospective randomised controlled study. , 1986, Gut.

[11]  K. V. van Erpecum,et al.  Percutaneous endoscopic gastrostomy (PEG): comparison of push and pull methods and evaluation of antibiotic prophylaxis. , 1995, Endoscopy.

[12]  J. Potts,et al.  Necrotizing fasciitis following percutaneous endoscopic gastrostomy. , 1988, Gastrointestinal endoscopy.

[13]  K. Kobayashi,et al.  Prospective randomized study on the effect of ranitidine against injection ulcer after endoscopic injection sclerotherapy for esophageal varices. , 1991, The American journal of gastroenterology.

[14]  B. Wigginghaus,et al.  A single dose of ceftriaxone administered 30 minutes before percutaneous endoscopic gastrostomy significantly reduces local and systemic infective complications , 1999, American Journal of Gastroenterology.

[15]  L. K. Groves Instrumental perforation of the esophagus. What is conservative management? , 1966, The Journal of thoracic and cardiovascular surgery.

[16]  G. D. Dunn,et al.  Percutaneous Endoscopic Gastrostomy: Clinical Experience and Follow-up , 1988, Southern medical journal.

[17]  J. Bennett,et al.  Balloon or bougie for dilatation of benign oesophageal stricture? An interim report of a randomised controlled trial. , 1988, Gut.

[18]  R. Hollabaugh,et al.  Late presentation of gastrocolic fistula after percutaneous gastrostomy. , 1988, Gastrointestinal endoscopy.

[19]  S. Grüne,et al.  Prospective, randomised, double blind trial of prophylaxis with single dose of co-amoxiclav before percutaneous endoscopic gastrostomy , 1999, BMJ.

[20]  R. Sanowski,et al.  Techniques and complications of esophageal foreign body extraction in children and adults. , 1993, Gastrointestinal endoscopy.

[21]  S. Benjamin Complications of conscious sedation. , 1996, Gastrointestinal endoscopy clinics of North America.

[22]  R. Fontana,et al.  Instrumental perforations of the esophagus. , 1969, Diseases of the chest.

[23]  B. Skov Jensen,et al.  Perforation and rupture of the esophagus. , 1983, Scandinavian journal of thoracic and cardiovascular surgery.

[24]  P. Hayes,et al.  Sucralfate for the prevention of early rebleeding following injection sclerotherapy for esophageal varices , 1989 .

[25]  J. Lindsay,et al.  Delayed Gastrocolic Fistula Following Percutaneous Endoscopic Gastrostomy (PEG) , 1991, Journal of the American Geriatrics Society.

[26]  E. Dimagno,et al.  Antibiotic prophylaxis for percutaneous endoscopic gastrostomy. A prospective, randomized, double-blind clinical trial. , 1987, Annals of internal medicine.

[27]  Asge Antibiotic prophylaxis for gastrointestinal endoscopy , 1995 .

[28]  D. Faigel,et al.  Technology status evaluation: Developments in laser technology , 1998 .

[29]  T. Bisgaard,et al.  Endoscopic palliation of inoperable cancer of the oesophagus or cardia by argon electrocoagulation. , 1998, Scandinavian journal of gastroenterology.

[30]  K. Lai,et al.  A prospective, randomized trial of sclerotherapy versus ligation in the management of bleeding esophageal varices , 1995 .

[31]  H. Nord,et al.  Foreign bodies of the upper gastrointestinal tract. , 1983, Gastrointestinal endoscopy.

[32]  Y. Morishita,et al.  Endoscopic balloon dilation for benign esophageal anastomotic stricture: factors influencing its effectiveness. , 1998, Hepato-gastroenterology.

[33]  W. Hop,et al.  A new design metal stent (Flamingo stent) for palliation of malignant dysphagia: a prospective study. The Rotterdam Esophageal Tumor Study Group. , 2000, Gastrointestinal endoscopy.

[34]  T. Baron,et al.  Results of direct percutaneous endoscopic jejunostomy, an alternative method for providing jejunal feeding. , 2000, Mayo Clinic proceedings.

[35]  E. G. Hahn,et al.  Antibiotic prophylaxis in percutaneous endoscopic gastrostomy (PEG): a prospective randomized clinical trial. , 1999, Endoscopy.

[36]  D. Faigel,et al.  Guideline for the management of ingested foreign bodies. , 2002, Gastrointestinal endoscopy.

[37]  S. Bown,et al.  Management of strictures after radiotherapy for esophageal cancer. , 1996, Gastrointestinal endoscopy.

[38]  D. Cave,et al.  Necrotizing fasciitis following percutaneous endoscopic gastrostomy , 1986 .

[39]  P. Rutgeerts,et al.  Neodymium-YAG laser photocoagulation versus multipolar electrocoagulation for the treatment of severely bleeding ulcers: a randomized comparison. , 1987, Gastrointestinal endoscopy.

[40]  A. Al-Salem,et al.  Iatrogenic perforation of the esophagus. , 2002, Saudi medical journal.

[41]  S. Chari,et al.  Intravariceal versus paravariceal sclerotherapy: a prospective, controlled, randomised trial. , 1987, Gut.

[42]  P. Rehak,et al.  Palliation of advanced esophageal carcinoma by photodynamic therapy and irradiation. , 2000, The Annals of thoracic surgery.

[43]  D. Jensen,et al.  Comparison of low-power YAG laser and BICAP tumor probe for palliation of esophageal cancer strictures. , 1988, Gastroenterology.

[44]  C. Perng,et al.  Comparison of adrenaline injection and bipolar electrocoagulation for the arrest of peptic ulcer bleeding , 1999, Gut.

[45]  P. Foutch,et al.  Percutaneous endoscopic gastrostomy in patients with prior abdominal surgery: virtues of the safe tract. , 1988, The American journal of gastroenterology.

[46]  P. Kamath,et al.  Gastroenterological procedures among patients with disorders of hemostasis: evaluation and management recommendations. , 1999, Gastrointestinal endoscopy.

[47]  P. Wallis,et al.  Percutaneous endoscopic gastrostomy in a general hospital: prospective evaluation of indications, outcome, and randomised comparison of two tube designs. , 1994, Gut.

[48]  R. Kozarek,et al.  Tube dysfunction following percutaneous endoscopic gastrostomy and jejunostomy. , 1990, Gastrointestinal endoscopy.

[49]  G. Ginsberg Management of ingested foreign objects and food bolus impactions. , 1995, Gastrointestinal endoscopy.

[50]  N. Büyükpamukçu,et al.  Esophageal perforations encountered during the dilation of caustic esophageal strictures. , 1998, The Journal of cardiovascular surgery.

[51]  Copenhagen Esophageal Varices Sclerotherapy Sclerotherapy after first variceal hemorrhage in cirrhosis. A randomized multicenter trial. , 1984, The New England journal of medicine.

[52]  R. Clouse Complications of endoscopic gastrointestinal dilation techniques. , 1996, Gastrointestinal endoscopy clinics of North America.

[53]  S. Kadakia,et al.  Graded pneumatic dilation using Rigiflex achalasia dilators in patients with primary esophageal achalasia. , 1993, The American journal of gastroenterology.

[54]  G. Di Falco,et al.  Balloon Dilatation of Anastomotic Intestinal Stenoses: Long-Term Results , 1990, Endoscopy.

[55]  J. Waring,et al.  Endoscopic techniques and complications in variceal sclerotherapy. , 1987, Journal of Clinical Gastroenterology.

[56]  T. Sørensen,et al.  Oesophageal stricture and dysphagia after endoscopic sclerotherapy for bleeding varices. , 1984, Gut.

[57]  R. Williams,et al.  Injection sclerotherapy for oesophageal varices: a prospective randomised trial of different treatment schedules. , 1984, Gut.

[58]  J. Waye Techniques in Therapeutic Endoscopy , 1987 .

[59]  S. Lowenstein,et al.  Endoscopic sclerotherapy as compared with endoscopic ligation for bleeding esophagal varices , 1992 .

[60]  A. Barkun,et al.  Transmission of infection by gastrointestional endoscopy: May 2001 , 2001 .

[61]  J. Ajani,et al.  Palliation of malignant dysphagia and fistulae with coated expandable metal stents: experience with 101 patients. , 1998, Gastrointestinal endoscopy.

[62]  J. Krige,et al.  Endoscopic balloon dilatation of peptic pyloroduodenal strictures. , 1999, Journal of clinical gastroenterology.

[63]  W. Strodel,et al.  Limitations of percutaneous endoscopic jejunostomy. , 1993, JPEN. Journal of parenteral and enteral nutrition.

[64]  D. Fleischer,et al.  Results from the American Society for Gastrointestinal Endoscopy/U.S. Food and Drug Administration collaborative study on complication rates and drug use during gastrointestinal endoscopy. , 1991, Gastrointestinal endoscopy.

[65]  W. A. Webb Management of foreign bodies of the upper gastrointestinal tract: update. , 1995, Gastrointestinal endoscopy.

[66]  A. Minocha,et al.  Silent colo-gastrocutaneous fistula as a complication of percutaneous endoscopic gastrostomy. , 1994, The American journal of gastroenterology.

[67]  M. Ochsner,et al.  Fatal necrotizing fasciitis complicating percutaneous endoscopic gastrostomy. , 1986, Gastrointestinal endoscopy.

[68]  P. Garg,et al.  Role of omeprazole in prevention and treatment of postendoscopic variceal sclerotherapy esophageal complications , 1995, Digestive diseases and sciences.

[69]  R. Kozarek,et al.  Long-term follow-up in patients who have undergone balloon dilation for gastric outlet obstruction. , 1990, Gastrointestinal endoscopy.

[70]  S. Misra,et al.  Long-Term Follow-Up of Patients Undergoing Balloon Dilation for Benign Pyloric Stenoses , 1996, Endoscopy.

[71]  J. Ponsky,et al.  Gastrostomy without laparotomy: a percutaneous endoscopic technique. , 1980, Journal of pediatric surgery.

[72]  N. Vakil,et al.  Short- and long-term outcome of esophageal perforation. , 1995, Gastrointestinal endoscopy.

[73]  J. Byrne,et al.  Comparative study of intestinal metaplasia and mucin staining at the cardia and esophagogastric junction in 225 symptomatic patients presenting for diagnostic open-access gastroscopy , 1999, American Journal of Gastroenterology.

[74]  R. Kozarek,et al.  Long-term survival in patients undergoing percutaneous endoscopic gastrostomy and jejunostomy. , 1990, The American journal of gastroenterology.

[75]  C. Hawkey,et al.  Audit of outcome of long-term enteral nutrition by percutaneous endoscopic gastrostomy , 1993, The Lancet.

[76]  L. Stassen,et al.  Benign anastomotic strictures after transhiatal esophagectomy and cervical esophagogastrostomy: risk factors and management. , 1996, The Journal of thoracic and cardiovascular surgery.

[77]  S. Preyer,et al.  Gastric Metastasis of Squamous Cell Carcinoma of the Head and Neck after Percutaneous Endoscopic Gastrostomy - Report of a Case , 1989, Endoscopy.

[78]  L. Bonavina,et al.  Endoscopic palliation of oesophageal cancer: results of a prospective comparison of Nd:YAG laser and ethanol injection. , 1999, The European journal of surgery = Acta chirurgica.

[79]  Robert E. Miller,et al.  Results in 316 patients and review of literature , 1989 .

[80]  T. Stellato,et al.  Gastrostomies: evolution, techniques, indications, and complications. , 1986, Current problems in surgery.

[81]  B. Overholt,et al.  Photodynamic therapy for Barrett's esophagus: follow-up in 100 patients. , 1999, Gastrointestinal endoscopy.

[82]  R. Soloway,et al.  The "buried bumper syndrome": a complication of percutaneous endoscopic gastrostomy. , 1990, The American journal of gastroenterology.

[83]  D. Campbell,et al.  Arterial oxygen desaturation during gastrointestinal endoscopy. , 1991, The American journal of gastroenterology.

[84]  A. Agrawal,et al.  Bacteremia after upper gastrointestinal endoscopy. , 1977, Archives of internal medicine.

[85]  L. Hernandez,et al.  Comparison among the perforation rates of Maloney, balloon, and savary dilation of esophageal strictures. , 2000, Gastrointestinal endoscopy.

[86]  J. Hunter,et al.  Metastatic implantation of laryngeal carcinoma at a PEG exit site. , 1991, Gastrointestinal endoscopy.

[87]  J. Bartelsman,et al.  Palliation of patients with esophagogastric neoplasms by insertion of a covered expandable modified Gianturco-Z endoprosthesis: experiences in 153 patients. , 2000, Gastrointestinal endoscopy.

[88]  W. Wilson,et al.  Stomal seeding by percutaneous endoscopic gastrostomy in patients with head and neck cancer. , 1992, Archives of otolaryngology--head & neck surgery.

[89]  C. Sugawa,et al.  Endoscopic complications. Results of the 1974 American Society for Gastrointestinal Endoscopy Survey. , 1976, JAMA.

[90]  D. Graham,et al.  Sclerotherapy-associated esophageal ulcers: lessons from a double-blind, randomized comparison of sucralfate suspension versus placebo. , 1989, Gastrointestinal endoscopy.

[91]  C. Marroni,et al.  Endoscopic dilation of benign esophageal strictures: report on 1043 procedures. , 1999 .

[92]  P. Juvan,et al.  Colocutaneous fistula: an unusual complication of percutaneous endoscopic gastrostomy. , 1987, JPEN. Journal of parenteral and enteral nutrition.

[93]  M. Shike,et al.  Direct percutaneous endoscopic jejunostomies for enteral feeding. , 1996, Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition.

[94]  J. Barkin,et al.  Oxygen desaturation and changes in breathing pattern in patients undergoing colonoscopy and gastroscopy. , 1989, Gastrointestinal endoscopy.

[95]  M. DeLegge,et al.  Percutaneous endoscopic gastrojejunostomy with a tapered tip, nonweighted jejunal feeding tube: improved placement success. , 1996, The American journal of gastroenterology.

[96]  M. Clair,et al.  Pneumoperitoneum following percutaneous endoscopic gastrostomy. A prospective study. , 1986, Gastrointestinal endoscopy.

[97]  L. Mchenry,et al.  Percutaneous endoscopic gastrojejunostomy: a dual center safety and efficacy trial. , 1995, JPEN. Journal of parenteral and enteral nutrition.

[98]  I. Siddique,et al.  Does chemoradiation therapy increase the incidence of complications with self-expanding coated stents in the management of malignant esophageal strictures? , 1997, The American journal of gastroenterology.

[99]  P. Foutch,et al.  Percutaneous endoscopic gastrostomy (PEG). A new procedure comes of age. , 1986, Journal of clinical gastroenterology.

[100]  V. Swaroop,et al.  Dilation of esophageal strictures induced by radiation therapy for cancer of the esophagus. , 1994, Gastrointestinal endoscopy.

[101]  J. Marshall,et al.  Percutaneous endoscopic gastrostomy: another cause of "benign" pneumoperitoneum. , 1984, Gastrointestinal endoscopy.

[102]  G. Pettersson,et al.  Differentiated treatment of intrathoracic oesophageal perforations. , 1981, Scandinavian journal of thoracic and cardiovascular surgery.

[103]  A. Amery,et al.  A review of the practice of fibreoptic endoscopic dilatation of oesophageal stricture. , 1989, Annals of the Royal College of Surgeons of England.

[104]  N. Soehendra,et al.  Prophylactic sclerosing of esophageal varices--results of a prospective controlled study. , 1986, Endoscopy.

[105]  Lee Sw,et al.  Acute presentation of transverse colon injury following percutaneous endoscopic gastrostomy tube placement: case report and review of current management. , 2000 .

[106]  D. Graham,et al.  Natural history of benign esophageal stricture treated by dilatation , 1983 .

[107]  A. Zinsmeister,et al.  A randomized prospective study comparing rigid to balloon dilators for benign esophageal strictures and rings. , 1999, Gastrointestinal endoscopy.

[108]  C. Surawicz,et al.  Bacteremia with gastrointestinal endoscopic procedures. , 1986, Gastrointestinal endoscopy.

[109]  R. A. Brower,et al.  Necrotizing fasciitis/myositis following percutaneous endoscopic gastrostomy. , 1986, Gastrointestinal endoscopy.

[110]  S. Kuwada,et al.  Long-term outcome of endoscopic dilation of nonmalignant pyloric stenosis. , 1995, Gastrointestinal endoscopy.

[111]  J. W. Griffin,et al.  Complications of endoscopic injection sclerotherapy: a review. , 1987, The American journal of gastroenterology.

[112]  M. Clair,et al.  Pneumoperitoneum after percutaneous endoscopic gastrostomy. , 1984, The American journal of gastroenterology.

[113]  R. Sanowski,et al.  Comparison and characterization of ulcerations induced by endoscopic ligation of esophageal varices versus endoscopic sclerotherapy. , 1993, Gastrointestinal endoscopy.

[114]  A. Dekovich,et al.  Spontaneous tube extrusion following percutaneous endoscopic gastrostomy. , 1989, Gastrointestinal endoscopy.

[115]  S. Nijhawan,et al.  Post-ligation stricture: a rare complication. , 1996, Endoscopy.

[116]  P. Foutch,et al.  A critical analysis of the Sacks-Vine gastrostomy tube: a review of 120 consecutive procedures. , 1988, The American journal of gastroenterology.

[117]  D. Carr-Locke,et al.  Transmission Of Infection By Gastrointestinal Endoscopy , 1993 .

[118]  R. Levitan,et al.  Retroesophageal abscess twenty-five days after esophagoscopy. An unusual complication of endoscopy. , 1972, Gastrointestinal endoscopy.

[119]  D. Graham,et al.  Bougienage is effective therapy for most benign esophageal strictures. , 1978, JAMA.

[120]  M. Classen,et al.  Implantation of self-expanding esophageal metal stents for palliation of malignant dysphagia. , 1992, Endoscopy.

[121]  H. Mischinger,et al.  Percutaneous endoscopic gastrostomy (PEG) , 1997, Surgical Endoscopy.

[122]  R. W. Hughes,et al.  Treatment of benign esophageal stricture by Eder-Puestow or balloon dilators: a comparison between randomized and prospective nonrandomized trials. , 1992, Mayo Clinic proceedings.

[123]  M. Kimmey,et al.  Technology Assessment Status Evaluation-Monitoring Equipment For Endoscopy November, 1994. , 1995, Gastrointestinal endoscopy.

[124]  S. Brazer,et al.  Complications of upper gastrointestinal endoscopy and their management. , 1994, Gastrointestinal endoscopy clinics of North America.

[125]  R. G. Norfleet,et al.  Percutaneous endoscopic gastrostomy feeding tube migration and impaction in the abdominal wall. , 1988, Gastrointestinal endoscopy.

[126]  F. Keller,et al.  Prior radiation and chemotherapy increase the risk of life-threatening complications after insertion of metallic stents for esophagogastric malignancy. , 1995, Gastrointestinal endoscopy.

[127]  P. Mitchell,et al.  Does bacteremia follow upper gastrointestinal endoscopy? , 1981, The American journal of gastroenterology.

[128]  J. Ponsky,et al.  Percutaneous approaches to enteral alimentation. , 1985, American journal of surgery.

[129]  M. Shike,et al.  Direct percutaneous endoscopic jejunostomies. , 1991, Gastrointestinal endoscopy.

[130]  D. Graham,et al.  Prospective randomized comparison of polyvinyl bougies and through-the-scope balloons for dilation of peptic strictures of the esophagus. , 1995, Gastrointestinal endoscopy.

[131]  T. Carmody,et al.  Retropharyngeal Abscess and Hematoma in an Elderly Woman Following Esophagoscopy and Endotracheal Intubation , 1983, Journal of the American Geriatrics Society.

[132]  Miller Re,et al.  Surgical management of complications of upper gastrointestinal endoscopy and esophageal dilation including laser therapy. , 1987 .

[133]  G. Holcomb,et al.  Cologastric fistula as a complication of percutaneous endoscopic gastrostomy. , 1989, JPEN. Journal of parenteral and enteral nutrition.

[134]  J. Disario,et al.  Endoscopic balloon dilation for ulcer-induced gastric outlet obstruction. , 1994, The American journal of gastroenterology.

[135]  J. Barkin,et al.  Conservative management of esophageal nontransmural tears after pneumatic dilation for achalasia. , 1996, The American journal of gastroenterology.

[136]  N. Heaton,et al.  Complications and limitations of injection sclerotherapy in portal hypertension. , 1993, Gut.

[137]  D. Kenady,et al.  Metastatic head and neck carcinoma in a percutaneous gastrostomy site , 1993, Head & neck.

[138]  V. Eckardt,et al.  Complications and their impact after pneumatic dilation for achalasia: prospective long-term follow-up study. , 1997, Gastrointestinal endoscopy.

[139]  A. Sonnenberg,et al.  Cost analysis of antibiotic prophylaxis for PEG. , 2000, Gastrointestinal endoscopy.

[140]  A. Gimson,et al.  Omeprazole in the management of intractable esophageal ulceration following injection sclerotherapy. , 1990, Gastroenterology.

[141]  L. Mathus-vliegen,et al.  Percutaneous endoscopic gastrostomy and gastrojejunostomy: a critical reappraisal of patient selection, tube function and the feasibility of nutritional support during extended follow-up. , 1999, Gastrointestinal endoscopy.

[142]  A. Panwalker,et al.  Effect of antibiotic prophylaxis in percutaneous endoscopic gastrostomy. , 1985, The American journal of gastroenterology.

[143]  F. Chan,et al.  Randomised comparison between adrenaline injection alone and adrenaline injection plus heat probe treatment for actively bleeding ulcers , 1997, BMJ.

[144]  F. Chan,et al.  Endoscopic retreatment compared with surgery in patients with recurrent bleeding after initial endoscopic control of bleeding ulcers. , 1999, The New England journal of medicine.