Department of Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Eur J Gastroenterol Hepatol. 2009 Jul;21(7):833-5. doi: 10.1097/MEG.0b013e328310aefc.
Cerebral gas embolism as a result of upper gastrointestinal endoscopy is a rare complication and bares a high morbidity. A patient is presented who underwent an upper endoscopy for evaluation of a gastric-mediastinal fistula after subtotal oesophagectomy and gastric tube reconstruction because of oesophageal cancer. During the procedure, cerebral gas emboli developed resulting in an acute left-sided hemiparesis. After hyperbaric oxygen therapy, the patient recovered almost completely. The aetiology and treatment is discussed based on the reviewed literature. Once cerebral gas emboli are recognized, patient outcome can be improved by hyperbaric oxygen therapy.
上消化道内镜检查导致的脑气体栓塞是一种罕见的并发症,发病率很高。本病例报告了一位患者,该患者因食管癌行食管次全切除和胃管重建术后,因胃纵隔瘘而行上消化道内镜检查。在该过程中,发生了脑气体栓塞,导致左侧急性偏瘫。高压氧治疗后,患者几乎完全康复。根据文献复习讨论了病因和治疗方法。一旦发现脑气体栓塞,高压氧治疗可以改善患者的预后。