Risks of transesophageal endoscopic ultrasonography-guided biliary drainage
Nozomi Okuno, Kazuo Hara, Nobumasa Mizuno and 8 more
Gastrointestinal Intervention · 2017
doi:10.18528/gii170008 (opens in a new tab)
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Abstract
Summary of Event: Pneumoderma, mediastinal emphysema, and bilateral pneumothorax were developed in the patient who had undergone trans-esophageal endoscopic ultrasonography-guided rendezvous technique. Chest drainage was performed immediately. Teaching Point: Transesophageal approach carries the potential risks of severe complications such as mediastinal emphysema, mediastinitis, and pneumothorax. To prevent puncturing through the esophagus, clipping the esophagogastric junction using a forward-viewing scope before procedure is very useful. In cases of inadvertent transesophageal puncture, devices other than the needle should not be passed through the site.
Abstract licence: CC BY-NC
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