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A A Case Rep. 2017 Mar 15;8(6):145-146. doi: 10.1213/XAA.0000000000000449.

Capnoperitoneum During Peroral Endoscopic Myotomy-Recognition and Management: A Case Report.

Author information

1
From the Departments of *Anesthesiology, Perioperative and Pain Medicine, and †Surgery, Division of Minimally Invasive Surgery, Stanford University School of Medicine, Stanford, California.

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.

PMID:
28114155
DOI:
10.1213/XAA.0000000000000449
[Indexed for MEDLINE]

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