The American journal of gastroenterology · 2021
Delayed Tension Symptomatic Pneumoperitoneum After POEM Requiring Needle Decompression.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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McGrath Brian, Calderon Lucie F, Xie Mengdan, Messallam Ahmed, Masuda Hikaru, Chen Huimin, Keilin Steven, Cai Qiang
Аннотация
INTRODUCTION: Per-oral endoscopic myotomy (POEM) is an effective modality for the management of achalasia. Tension pneumoperitoneum is a significant complication that causes hemodynamic instability, generally within the periprocedural period.
METHODS: Here, we report 2 cases of delayed tension pneumoperitoneum that was recognized and treated several hours after uncomplicated POEM.
RESULTS: These cases illustrate the importance of continued vigilance for this complication outside of the immediate periprocedural period as well as the utility of computed tomography-guided aspiration in managing it.
DISCUSSION: When discharging patients after POEM, caregivers should be aware of this rare complication and alert patients to return for immediate care when it happens.
METHODS: Here, we report 2 cases of delayed tension pneumoperitoneum that was recognized and treated several hours after uncomplicated POEM.
RESULTS: These cases illustrate the importance of continued vigilance for this complication outside of the immediate periprocedural period as well as the utility of computed tomography-guided aspiration in managing it.
DISCUSSION: When discharging patients after POEM, caregivers should be aware of this rare complication and alert patients to return for immediate care when it happens.