[Aspiration-induced lung complications following emergency endoscopy in upper gastrointestinal hemorrhage: incidence and localization by thoracic radiography].
OBJECTIVE
Determination of incidence and mortality of pulmonary pathologies arising after gastroscopy for acute bleeding, of left to right ratio of pulmonary findings in postgastroscopic chest films, and determination of a possible relationship between bleeding activity and frequency of aspiration.


METHODS
174 patients with emergency gastroscopies for upper gastrointestinal haemorrhage with pre-/postendoscopy chest films, retrospective analysis. Of the pulmonary findings, infiltrates and atelectases were considered.


RESULTS
After emergency gastroscopy, 16% of patients had infiltrates or atelectases at chest radiography. Mortality within 30 days in the study group was 18%, and 39% among the subgroup with radiologically proven pulmonary complications. The distribution of chest findings between left and right side was 1:1,3. In the subgroup with gastroscopic signs of bleeding the share of postgastroscopic pulmonary findings was slightly superior to that of patients without direct signs of bleeding; however, the difference was statistically not significant.


CONCLUSIONS
Endoscopy-related aspirations do not seem to account for an increased rate of pulmonary complications after emergency gastroscopy.
Gartenschläger
M
M
Med. Zentrum für, Radiologie.Klinikum der Philipps-Universität Marburg.
Pfeiffer
M
M
Stinner
B
B
Nafe
B
B
Klose
K J
KJ
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004630:Emergencies; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000401:mortality; D005773:Gastroscopy / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000000981:diagnostic imaging / Q000209:etiology*; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000209:etiology; D013902:Radiography, Thoracic; D012189:Retrospective Studies; D012307:Risk Factors
Aspirationsbedingte Lungen-komplikationen nach Notfallendoskopie bei oberer Gastrointestinalblutung: Inzidenz und Lokalisation im Röntgen-Thorax.