Endoscopy 2020; 52(S 01): S101
DOI: 10.1055/s-0040-1704309
ESGE Days 2020 oral presentations
Friday, April 24, 2020 14:30 – 16:30 Exploring the underworld: Upper GIsubmucosal therapy Wicklow Meeting Room 1
© Georg Thieme Verlag KG Stuttgart · New York

SEVERE DEFERRED BLEEDING AFTER POEM, ENDOSCOPIC RESOLUTION OF THE CASE

P Roson
1   Hospital Quiron Salud Malaga, Gastroenterogy and Endoscopy Service, Málaga, Spain
,
F Cano
1   Hospital Quiron Salud Malaga, Gastroenterogy and Endoscopy Service, Málaga, Spain
,
L Vazquez
1   Hospital Quiron Salud Malaga, Gastroenterogy and Endoscopy Service, Málaga, Spain
,
F Melgarejo
1   Hospital Quiron Salud Malaga, Gastroenterogy and Endoscopy Service, Málaga, Spain
,
A Garcia
1   Hospital Quiron Salud Malaga, Gastroenterogy and Endoscopy Service, Málaga, Spain
,
J Calle
1   Hospital Quiron Salud Malaga, Gastroenterogy and Endoscopy Service, Málaga, Spain
,
E Albeniz
2   Complejo Hospitalario de Navarra, Servicio de Aparato Digestivo- Gastroenterology Department, Pamplona, Spain
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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Minor complications in POEM are the most frequent and mainly the ones related to gas, Capoperitoneum/mediastinal, in 10% of cases. Deferred bleeding in 0.8%.

A 56-year-old-male with a family history of von Willebrand disease, POEM is performed due to type-II achalasia.

On day 10 postoperative develops restrosternal pain and hematemesis. Tac shows a large esophageal collection that compresses the left atrium.

The cavity is entered, cleaning it of clots until the compression is reduced enough to get into the stomach. The mucosotomy is sutured with Apollo, and a fully covered Stent is positioned, which is also sutured to prevent migration.