Related Experiment Video

Updated: May 25, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
04:05

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Published on: August 22, 2025

Management of duodenal perforation following upper gastrointestinal endoscopy. A safe and feasible alternative

Rizwan Ahmad Khan1, K L Narasimhan

  • 1Deptt of Surgery, JNMCH, Aligarh, India. drrizwanahmadkhan@yahoo.co.in

Acta Gastroenterologica Latinoamericana
|February 2, 2012
PubMed

Insights

Pediatric upper gastrointestinal endoscopy can lead to complications like free air. Conservative management was successful for three children experiencing post-endoscopic abdominal pain and pneumoperitoneum.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Abdominal Complications

Background:

  • Upper gastrointestinal endoscopy is a common diagnostic and therapeutic tool in pediatric care.
  • While generally safe, endoscopic interventions in children, particularly younger ones, carry inherent risks.
  • Complications can arise, necessitating careful patient monitoring and management strategies.

Observation:

  • Three pediatric patients underwent upper gastrointestinal endoscopy for diagnostic or therapeutic reasons.
  • Following the procedures, all three patients presented with significant abdominal pain.
  • Radiographic imaging revealed free air under the diaphragm (pneumoperitoneum) in each case.

Findings:

  • All three patients with post-endoscopic pneumoperitoneum and abdominal pain were managed non-surgically.
  • Conservative treatment approaches were employed over a two-year period.
  • The outcomes for these conservatively managed cases were successful, avoiding surgical intervention.

Implications:

  • Conservative management may be a viable option for select pediatric cases of post-endoscopic pneumoperitoneum.
  • This approach could potentially reduce the need for invasive surgical procedures in children.
  • Further research is warranted to define criteria for conservative management of endoscopic complications in pediatric patients.

Related Concept Videos

Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding01:15

Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding

Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube through...