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Related Experiment Videos

Transient megacolon after gastroscopy

N S Mann, A J Sachdev

    Southern Medical Journal
    |June 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    A patient experienced abdominal pain after a gastroscopy, likely due to air entrapment from barium. A saline enema provided relief, highlighting a simple treatment for this gastrointestinal issue.

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    Area of Science:

    • Gastroenterology
    • Medical Diagnostics

    Background:

    • Fiberoptic gastroscopy is a common endoscopic procedure for examining the upper gastrointestinal tract.
    • Post-procedure abdominal distention can occur, necessitating investigation into its causes.

    Observation:

    • A 38-year-old male presented with abdominal distention and pain subsequent to a fiberoptic gastroscopy.
    • Previous upper gastrointestinal roentgenographic series revealed inspissated barium in the descending colon.

    Findings:

    • The patient's symptoms were attributed to air entrapment in the proximal colon, secondary to barium impaction.
    • Premedication with meperidine hydrochloride and atropine may have contributed to the condition.

    Implications:

    • Saline enema effectively resolved the patient's symptoms, indicating a non-invasive treatment option.

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  • Subsequent barium enema confirmed a normal colonic structure, ruling out underlying pathology.