Gastrointestinal Intervention (Mar 2017)

Risks of transesophageal endoscopic ultrasonography-guided biliary drainage

  • Nozomi Okuno,
  • Kazuo Hara,
  • Nobumasa Mizuno,
  • Susumu Hijioka,
  • Takamichi Kuwahara,
  • Masahiro Tajika,
  • Tsutomu Tanaka,
  • Makoto Ishihara,
  • Yutaka Hirayama,
  • Sachiyo Onishi,
  • Yasumasa Niwa

DOI
https://doi.org/10.18528/gii170008
Journal volume & issue
Vol. 6, no. 1
pp. 82 – 84

Abstract

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Summary of Event: Pneumoderma, mediastinal emphysema, and bilateral pneumothorax were developed in the patient who had undergone trans-esophageal endoscopic ultrasonography-guided rendezvous technique. Chest drainage was performed immediately. Teaching Point: Transesophageal approach carries the potential risks of severe complications such as mediastinal emphysema, mediastinitis, and pneumothorax. To prevent puncturing through the esophagus, clipping the esophagogastric junction using a forward-viewing scope before procedure is very useful. In cases of inadvertent transesophageal puncture, devices other than the needle should not be passed through the site.

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