| Literature DB >> 28114155 |
Eric Lee1, Jay B Brodsky, Homero Rivas, Karl Zheng, John G Brock-Utne.
Abstract
Peroral endoscopic myotomy (POEM) is a minimally invasive procedure for treating esophageal achalasia. During POEM, carbon dioxide is insufflated under pressure into the esophagus and stomach, which can cause clinically significant capnoperitoneum, capnomediastinum, or capnothorax. We present a case in which gas accumulation in the abdomen during POEM had adverse effects on ventilation. Once the cause was recognized, needle decompression of the abdomen led to immediate improvement in ventilation.Entities:
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Year: 2017 PMID: 28114155 DOI: 10.1213/XAA.0000000000000449
Source DB: PubMed Journal: A A Case Rep ISSN: 2325-7237