{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T14:08:50Z","timestamp":1785247730994,"version":"3.55.0"},"reference-count":21,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,7,14]]},"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Uvular necrosis is an uncommon complication following oesophagogastroduodenoscopy (OGD). We report a case involving a male in his 20s who developed uvular necrosis following a routine OGD performed under conscious sedation. The patient presented three days postprocedure with a worsening sore throat and odynophagia. Examination revealed an erythematous uvula with a necrotic tip. He was managed conservatively with simple analgesia, topical lidocaine and oral antibiotics with eventual full resolution of symptoms with no lasting sequelae. This case highlights a rare yet significant complication of OGD, emphasising the importance of clinician awareness, conservative management and patient reassurance.<\/jats:p>","DOI":"10.1136\/bcr-2025-268388","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T13:30:15Z","timestamp":1785245415000},"page":"e268388","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Uvular tip necrosis following routine diagnostic oesophagogastroduodenoscopy"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-7653-9319","authenticated-orcid":false,"given":"Takuma","family":"Konno","sequence":"first","affiliation":[{"name":"Gastroenterology, Townsville Hospital and Health Service, Townsville City, Queensland, Australia"},{"name":"James Cook University, Townsville City, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8084-7614","authenticated-orcid":false,"given":"Christopher James","family":"Shephard","sequence":"additional","affiliation":[{"name":"Gastroenterology, Townsville Hospital and Health Service, Townsville City, Queensland, Australia"},{"name":"James Cook University, Townsville City, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8327-278X","authenticated-orcid":false,"given":"Zainul Abidin","family":"Azhar","sequence":"additional","affiliation":[{"name":"Gastroenterology, Townsville Hospital and Health Service, Townsville City, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rozemary","family":"Karamatic","sequence":"additional","affiliation":[{"name":"Gastroenterology, Townsville Hospital and Health Service, Townsville City, Queensland, Australia"},{"name":"James Cook University, Townsville City, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"2026072806300627000_19.7.e268388.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmjgast-2021-000688","article-title":"Complications of diagnostic upper Gastrointestinal endoscopy: common and rare - recognition, assessment and management","volume":"9","author":"Waddingham","year":"2022","journal-title":"BMJ Open Gastroenterol"},{"key":"2026072806300627000_19.7.e268388.2","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-221959","article-title":"Uvular necrosis following diagnostic gastroscopy","volume":"2017","author":"Digby-Bell","year":"2017","journal-title":"BMJ Case Rep"},{"key":"2026072806300627000_19.7.e268388.3","doi-asserted-by":"crossref","DOI":"10.12659\/AJCR.933556","article-title":"Uvular Necrosis Following Esophagogastroduodenoscopy: A Case Report","volume":"22","author":"AlMomen","year":"2021","journal-title":"Am J Case Rep"},{"key":"2026072806300627000_19.7.e268388.4","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1002\/jpn3.12239","article-title":"Uvular necrosis: A rare postprocedural complication","volume":"79","author":"Judy","year":"2024","journal-title":"J Pediatr Gastroenterol Nutr"},{"key":"2026072806300627000_19.7.e268388.5","doi-asserted-by":"crossref","DOI":"10.1056\/NEJMicm0803418","article-title":"Images in clinical medicine. 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