Gastrointestinal Intervention  2017;6(1):82-84

doi:10.18528/gii.170008

Risks of transesophageal endoscopic ultrasonography-guided biliary drainage.

Nozomi OKUNO 1 ; Kazuo HARA ; Nobumasa MIZUNO ; Susumu HIJIOKA ; Takamichi KUWAHARA ; Masahiro TAJIKA ; Tsutomu TANAKA ; Makoto ISHIHARA ; Yutaka HIRAYAMA ; Sachiyo ONISHI ; Yasumasa NIWA

Affiliations

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Keywords

Endoscopic ultrasonography; Endoscopic ultrasonography-guided biliary drainage; Endoscopic ultrasonography-guided rendezvous technique; Interventional endoscopic ultrasonography

Country

Republic of Korea

Language

English

Abstract

SUMMARY OF EVENT: Pneumoderma, mediastinal emphysema, and bilateral pneumothorax were developed in the patient who had undergone transesophageal 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.