经口内窥镜下肌切开术中的腹膜-识别和处理:1例报告。

A&A Case Reports Pub Date : 2017-03-01 DOI:10.1213/XAA.0000000000000449

Eric Lee, J. Brodsky, H. Rivas, Karl Zheng, J. Brock‐Utne

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引用次数: 7

摘要

经口内窥镜下肌切开术(POEM)是一种治疗食管贲门失弛缓症的微创手术。在POEM过程中，二氧化碳在压力下被吹入食管和胃，这可能导致临床上显著的capno腹膜、capno纵膈肌或capno胸腔。我们提出的情况下，气体积聚在腹部在诗有不良影响的通气。一旦病因被发现，腹部针减压导致通气立即改善。

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

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.

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A&A Case Reports

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