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Capnoperitoneum During Peroral Endoscopic Myotomy-Recognition and Management: A Case Report. A & A case reports Lee, E., Brodsky, J. B., Rivas, H., Zheng, K., Brock-Utne, J. G. 2017

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.

View details for DOI 10.1213/XAA.0000000000000449

View details for PubMedID 28114155