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Endoscopic Bubble Trouble: Hyperbaric Oxygen Therapy for Cerebral Gas Embolism During Upper Endoscopy
Jeffrey S Cooper1, Jason Thomas, Shailender Singh
1University of Nebraska Medical Center, Omaha, NE.
Gas embolism, a rare complication of endoscopy, can be devastating. Prompt identification and hyperbaric oxygen therapy are crucial for managing this condition, with outcomes varying from complete resolution to death.
Area of Science:
- Gastroenterology
- Hyperbaric Medicine
Background:
- Endoscopic procedures like esophagogastroduodenoscopy and endoscopic retrograde cholangiopancreatography carry a risk of rare but serious complications.
- Gas embolism is one such potentially devastating complication associated with these procedures.
Observation:
- This report details three cases of gas embolism following endoscopic interventions.
- These cases were treated at a hyperbaric medicine center.
Findings:
- Outcomes in the observed cases varied significantly, including complete resolution, death, and permanent disability.
- Literature review indicates gas embolism is an unusual but critical complication of endoscopy.
Implications:
- Prompt identification and immediate referral for hyperbaric oxygen therapy are essential for improving patient outcomes.
- Adjunctive therapies may also play a role in managing gas embolism following endoscopic procedures.
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