Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2018 Dec;113(12):1742-1744.
doi: 10.1038/s41395-018-0139-z.

Treatment of Endoscopy Associated Cerebral Gas Embolism

Jeffrey Cooper  1
Affiliations

Treatment of Endoscopy Associated Cerebral Gas Embolism

Jeffrey Cooper. Am J Gastroenterol. 2018 Dec.
No abstract available

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Demonstrating right to left shunting, allowing venous gas to embolize to the arterial system
Fig. 2
Fig. 2
CT scan demonstrating cerebral gas emboli from a 71 year old male with esophageal food bolus impaction. EGD was performed with the obstruction advanced into the stomach. While being prepared for subsequent dilation, he suddenly became bradycardic, hypoxic, and unresponsive. A CT after the initial HBO treatment showed gas resolution but extensive cerebral swelling
Fig. 3
Fig. 3
CT scan demonstrating aortic gas. We detected a similar case using echocardiography in a patient undergoing stent placement during ERCP. During the procedure he became pulseless with ventricular tachycardia. He had complete resolution with HBO with no sequelae
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

References

    1. Mandelstam P, et al. Compliations associated with esophagogastroduodenoscopy and esophageal dilation. Gastron Endosc. 1976;23:16–9. - PubMed
    1. Bessereau J, et al. Long-term outcome of iatrogenic gas embolism. Intensive Care Med. 2010;36:1180–87. - PubMed
    1. Donepudi S, Chavalitdhamrong D, L Pu PD. Air embolism complicating gastrointestinal endoscopy: a systematic review. World J Gastrointest Endosc. 2013;16:359–65. - PMC - PubMed
    1. Cooper J, et al. Endoscopic bubble trouble: hyperbaric oxygen therapy for cerebral gas embolism during upper endoscopy. J Clin Gastroenterol. 2017;51:e48–e51. - PubMed
    1. Tanzi A, et al. Is the search for right-to-left shunt still worthwhile? Acta Neurol Scand. 2016;133:281–8. - PubMed
  NODES
admin 2
twitter 2