Clinical Endoscopy (Nov 2021)

Perforation of a Gastric Tear during Esophageal Endoscopic Submucosal Dissection under General Anesthesia

  • Tomoaki Yamasaki,
  • Yuhei Sakata,
  • Takehisa Suekane,
  • Hiroko Nebiki

DOI
https://doi.org/10.5946/ce.2020.220
Journal volume & issue
Vol. 54, no. 6
pp. 916 – 919

Abstract

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Mallory-Weiss tears (MWT) are occasionally encountered during endoscopic procedures. Esophageal endoscopic submucosal dissection (ESD) is widely performed under general anesthesia to avoid unexpected body movements. We present the case of a 68-year-old woman with squamous cell carcinoma. Although ESD was performed under general anesthesia, a gastric perforation at the MWT caused by gastric inflation was observed after the procedure. The perforation was closed endoscopically, and she was discharged without any sequelae. Although general anesthesia is useful for esophageal ESD, it should be noted that it can cause MWT, and in rare cases, gastric perforation, due to gastric inflation during the procedure.

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