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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
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Pneumothorax-II01:27

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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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Endoscopic Studies II: Thoracocentesis01:26

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Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
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A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
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Endoscopic Procedures V: ERCP01:26

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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...
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Lower GI Series: Barium Enema01:23

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A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
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Related Experiment Video

Updated: Nov 29, 2025

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

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Tension pneumoperitoneum following upper endoscopy.

Catherine Denkler1, Helene M Sterbling1, Hani Seoudi1

  • 1Department of Surgery, Inova Fairfax Medical Campus, Falls Church, VA, USA.

Journal of Surgical Case Reports
|November 20, 2020
PubMed
Summary

Jejunal perforation during upper endoscopy is a rare event. This case highlights a fatal outcome due to abdominal compartment syndrome, mesenteric ischemia, and massive hemorrhage following the perforation.

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Area of Science:

  • Gastroenterology
  • Surgical Complications
  • Critical Care Medicine

Background:

  • Perforation of the digestive tract is a rare but serious complication of endoscopic procedures.
  • Abdominal compartment syndrome resulting from endoscopic perforation is exceptionally uncommon, with fewer than 20 reported cases.

Observation:

  • A case of jejunal perforation occurred during an upper gastrointestinal endoscopy.
  • The perforation led to tension physiology, mesenteric ischemia, severe acidosis, renal failure, coagulopathy, and massive gastrointestinal hemorrhage.

Findings:

  • The patient experienced sudden shock upon abdominal decompression, suggesting possible reperfusion injury.
  • Despite resuscitative efforts, the patient's condition deteriorated, leading to death.

Implications:

  • This case underscores the critical risks associated with endoscopic perforations, particularly the development of abdominal compartment syndrome.
  • It highlights the potential for rapid physiological deterioration and the challenges in managing such severe complications.
  • Early recognition and management strategies for these rare but life-threatening events are crucial in gastrointestinal endoscopy.