| Article ID | Journal | Published Year | Pages | File Type |
|---|---|---|---|---|
| 6091395 | Clinical Gastroenterology and Hepatology | 2014 | 4 Pages |
Abstract
We describe the occurrence of an iatrogenic explosion induced by argon plasma coagulation in a 70-year-old man undergoing gastroscopy. Combustible gases in the stomach may have been released by bacterial overgrowth as a result of partial gastric outlet obstruction (caused by a gastric tumor) and reduced acidity (from proton pump inhibitor therapy). We propose a stepwise process during upper endoscopy to prevent this devastating complication, comprising aspiration, preinsufflation with CO2, and then coagulation.
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Authors
John Saul Freiman, Toni Hampe,