[Tension pneumothorax during peroral endoscopic myotomy for treatment of esophageal achalasia under general anesthesia].
More and more endoscopically gastrointestinal procedures require anesthesiologists to perform general anesthesia, such as "peroral endoscopic myotomy". Peroral endoscopic myotomy is a novel invasive treatment for the primary motility disorder of esophagus, called esophageal achalasia. Despite of its minimally invasive feature, there are still complications during the procedure which develop to critical conditions and threat patients' lives. Herein we describe a case about tension pneumothorax subsequent to esophageal rupture during peroral endoscopic myotomy. The emergent management of the complication is stated in detail. The pivotal points of general anesthesia for patients undergoing peroral endoscopic myotomy are emphasized and discussed. Also, intraoperative and post-operative complications mentioned by literature are integrated.
Cheng-Ching General Hospital, Ping-Tien Branch, Department of Anesthesia, Taichung, Taiwan.
Tsung-Shih
TS
Li
China Medical University Hospital, Department of Anesthesiology, Taichung, Taiwan.
Tsung-Yang
TY
Lee
China Medical University Hospital, Department of Anesthesiology, Taichung, Taiwan. Electronic address: hiphopdance100@gmail.com.
Kate Hsiurong
KH
Liao
D000768:Anesthesia, General / Q000009:adverse effects*; D004931:Esophageal Achalasia / Q000601:surgery*; D004945:Esophagoscopy; D005260:Female; D006801:Humans; D007431:Intraoperative Complications / Q000209:etiology*; D008875:Middle Aged; D000074433:Myotomy / Q000379:methods; D011030:Pneumothorax / Q000209:etiology*
Acalasia esofágica; Anestesia geral; Esophageal achalasia; General anesthesia; Miotomia endoscópica por via oral; Peroral endoscopic myotomy; Pneumotórax hipertensivo; Tension pneumothorax