Endoscopy 2021; 53(S 01): S42
DOI: 10.1055/s-0041-1724358
Abstracts | ESGE Days
ESGE Days 2021 Oral presentations
Friday, 26 March 2021 11:00 – 11:45 Endoscopic management of leaks and fistula Room 5

Working Under Pressure - Insufflation-Induced Gastric Barotrauma During Esophageal ESD

D Persyn
1   University Hospitals Leuven, Gastroenterology and Hepatology, Leuven, Belgium
2   AZ Damiaan, Gastroenterology and Hepatology, Oostende, Belgium
,
D Dewulf
1   University Hospitals Leuven, Gastroenterology and Hepatology, Leuven, Belgium
3   AZ Delta, Gastroenterology and Hepatology, Roeselare, Belgium
,
R Bisschops
1   University Hospitals Leuven, Gastroenterology and Hepatology, Leuven, Belgium
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
 
 

    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.


    #

    Publikationsverlauf

    Artikel online veröffentlicht:
    19. März 2021

    © 2021. European Society of Gastrointestinal Endoscopy. All rights reserved.

    Georg Thieme Verlag KG
    Rüdigerstraße 14, 70469 Stuttgart, Germany