Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia
More and more endoscopically gastrointestinal procedures require anesthesiologists to perform general anesthesia, such as “peroral endoscopic myotomy”. Peroral endoscopic myotomy is a novel invasive treatment for the primary motility disorder of esophagus, called esophageal achalasia. Despite of its...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-07-01
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| Series: | Brazilian Journal of Anesthesiology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0104001415001220 |
| _version_ | 1811201125668356096 |
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| author | Tsung-Shih Li Tsung-Yang Lee Kate Hsiurong Liao |
| author_facet | Tsung-Shih Li Tsung-Yang Lee Kate Hsiurong Liao |
| author_sort | Tsung-Shih Li |
| collection | DOAJ |
| description | More and more endoscopically gastrointestinal procedures require anesthesiologists to perform general anesthesia, such as “peroral endoscopic myotomy”. Peroral endoscopic myotomy is a novel invasive treatment for the primary motility disorder of esophagus, called esophageal achalasia. Despite of its minimally invasive feature, there are still complications during the procedure which develop to critical conditions and threat patients’ lives. Herein we describe a case about tension pneumothorax subsequent to esophageal rupture during peroral endoscopic myotomy. The emergent management of the complication is stated in detail. The pivotal points of general anesthesia for patients undergoing peroral endoscopic myotomy are emphasized and discussed. Also, intraoperative and post-operative complications mentioned by literature are integrated. Resumo: Cada vez mais os procedimentos gastrointestinais feitos por endoscopia, tais como a miotomia endoscópica por via oral (MEVO), exigem anestesiologistas para administrar anestesia geral. A MEVO é um novo tratamento invasivo para o distúrbio de motilidade primária do esôfago, denominado acalasia esofágica (AE). Apesar de sua característica minimamente invasiva, existem complicações durante o procedimento que evoluem para condições críticas e de risco à vida. Descrevemos aqui um caso de pneumotórax de tensão após a ruptura do esôfago durante uma MEVO. O tratamento de emergência da complicação é relatado em detalhes. Os pontos cruciais da anestesia geral para pacientes submetidos à MEVO são enfatizados e discutidos. Além disso, as complicações mencionadas pela literatura nos períodos intraoperatório e pós-operatório são integradas. Keywords: Peroral endoscopic myotomy, Tension pneumothorax, Esophageal achalasia, General anesthesia, Palavras-chave: Miotomia endoscópica por via oral, Pneumotórax hipertensivo, Acalasia esofágica, Anestesia geral |
| first_indexed | 2024-04-12T02:16:38Z |
| format | Article |
| id | doaj.art-61734e2900f04c4c8ebc4ab7e7edfc04 |
| institution | Directory Open Access Journal |
| issn | 0104-0014 |
| language | English |
| last_indexed | 2024-04-12T02:16:38Z |
| publishDate | 2017-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Brazilian Journal of Anesthesiology |
| spelling | doaj.art-61734e2900f04c4c8ebc4ab7e7edfc042022-12-22T03:52:14ZengElsevierBrazilian Journal of Anesthesiology0104-00142017-07-01674415417Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesiaTsung-Shih Li0Tsung-Yang Lee1Kate Hsiurong Liao2Cheng-Ching General Hospital, Ping-Tien Branch, Department of Anesthesia, TaiwanChina Medical University Hospital, Department of Anesthesiology, Taichung, TaiwanChina Medical University Hospital, Department of Anesthesiology, Taichung, Taiwan; Corresponding author.More and more endoscopically gastrointestinal procedures require anesthesiologists to perform general anesthesia, such as “peroral endoscopic myotomy”. Peroral endoscopic myotomy is a novel invasive treatment for the primary motility disorder of esophagus, called esophageal achalasia. Despite of its minimally invasive feature, there are still complications during the procedure which develop to critical conditions and threat patients’ lives. Herein we describe a case about tension pneumothorax subsequent to esophageal rupture during peroral endoscopic myotomy. The emergent management of the complication is stated in detail. The pivotal points of general anesthesia for patients undergoing peroral endoscopic myotomy are emphasized and discussed. Also, intraoperative and post-operative complications mentioned by literature are integrated. Resumo: Cada vez mais os procedimentos gastrointestinais feitos por endoscopia, tais como a miotomia endoscópica por via oral (MEVO), exigem anestesiologistas para administrar anestesia geral. A MEVO é um novo tratamento invasivo para o distúrbio de motilidade primária do esôfago, denominado acalasia esofágica (AE). Apesar de sua característica minimamente invasiva, existem complicações durante o procedimento que evoluem para condições críticas e de risco à vida. Descrevemos aqui um caso de pneumotórax de tensão após a ruptura do esôfago durante uma MEVO. O tratamento de emergência da complicação é relatado em detalhes. Os pontos cruciais da anestesia geral para pacientes submetidos à MEVO são enfatizados e discutidos. Além disso, as complicações mencionadas pela literatura nos períodos intraoperatório e pós-operatório são integradas. Keywords: Peroral endoscopic myotomy, Tension pneumothorax, Esophageal achalasia, General anesthesia, Palavras-chave: Miotomia endoscópica por via oral, Pneumotórax hipertensivo, Acalasia esofágica, Anestesia geralhttp://www.sciencedirect.com/science/article/pii/S0104001415001220 |
| spellingShingle | Tsung-Shih Li Tsung-Yang Lee Kate Hsiurong Liao Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia Brazilian Journal of Anesthesiology |
| title | Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia |
| title_full | Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia |
| title_fullStr | Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia |
| title_full_unstemmed | Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia |
| title_short | Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia |
| title_sort | tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia |
| url | http://www.sciencedirect.com/science/article/pii/S0104001415001220 |
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