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DOI: 10.1055/s-0041-1724358
Working Under Pressure - Insufflation-Induced Gastric Barotrauma During Esophageal ESD
A 64-year-old female underwent endoscopic submucosal dissection (ESD) for esophageal squamous cell carcinoma (cT1N0M0). During follow-up a stricture developed, managed with sequential balloon dilation. We also identified two metachronic lesions for which a second ESD was performed immediately after dilatation of the esophageal stricture.
The patient developed postoperative abdominal pain. Chest X-ray revealed a pneumoperitoneum. A linear perforation of 2cm in the lesser curvature of the gastric upper body was successfully closed using six hemoclips.
Insufflation-induced gastric barotrauma is exceptionally rare. Air trapping by tight apposition of the endoscope at the proximal esophageal stricture is the most likely causative mechanism.
Citation: Persyn D, Dewulf D, Bisschops R. OP99V WORKING UNDER PRESSURE - INSUFFLATION-INDUCED GASTRIC BAROTRAUMA DURING ESOPHAGEAL ESD. Endoscopy 2021; 53: S42.
Publication History
Article published online:
19 March 2021
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