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[Pneumothorax during esophageal endoscopic mucosal resection].
Yoshihisa Matsumoto1, Kei Kamiutsuri, Naoto Tanaki
1Department of Anesthesiology and Intensive Care Medicine, Graduate School of Medical Science, Kanazawa University, Kanazawa.
Masui. the Japanese Journal of Anesthesiology
|July 20, 2005
Summary
Pneumothorax, a rare complication, can occur during esophageal endoscopic mucosal resection (EEMR). Sudden drops in oxygen saturation during EEMR may indicate this serious condition.
Area of Science:
- Gastroenterology
- Thoracic Surgery
- Anesthesiology
Background:
- Esophageal endoscopic mucosal resection (EEMR) is a minimally invasive procedure for early esophageal cancer.
- General anesthesia with artificial ventilation is typically employed during EEMR.
Observation:
- A 53-year-old male undergoing EEMR experienced a sudden decrease in oxygen saturation from 99% to 84%.
- Simultaneously, airway pressure increased from 15 cmH2O to 25 cmH2O during the procedure.
Findings:
- Right pneumothorax was diagnosed and managed with chest drainage.
- Esophageal perforation was identified and repaired following the detection of pneumothorax.
- The pneumothorax and esophageal perforation were attributed to the endoscopic operation.
Implications:
- Pneumothorax is a rare but significant complication of EEMR.
- Clinicians should consider pneumothorax in cases of sudden hypoxia during EEMR.
- Prompt recognition and management are crucial for patient outcomes.