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Updated: Jun 1, 2026

Cooling or Warming the Esophagus to Reduce Esophageal Injury During Left Atrial Ablation in the Treatment of Atrial Fibrillation
Published on: March 15, 2020
Pneumoperitoneum after esophageal cryoablation in a patient with a PEG
David L Diehl1, Alok K Jain, Bruce D Greenwald
1Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, PA, USA. dldiehl@geisinger.edu
Abstract:
There is an increasing use of cryotherapy in the gastrointestinal tract for ablation of a variety of lesions. There is only a single reported case of perforation with spray cryotherapy, which was in a patient with Marfan syndrome. In this report, we describe pneumoperitoneum in a patient with a percutaneous endoscopic gastrostomy tube undergoing cryoablation. It is postulated that barotrauma at the percutaneous endoscopic gastrostomy site led to the pneumoperitoneum, and this can occur even with apparently adequate gas-venting procedures.
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