Risks of transesophageal endoscopic ultrasonography-guided biliary drainage.

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

1. Department of Gastroenterology, Aichi Cancer Center Hospital, Nagoya, Japan. khara@aichi-cc.jp
Publication Type:Brief Communication
Keywords: Endoscopic ultrasonography; Endoscopic ultrasonography-guided biliary drainage; Endoscopic ultrasonography-guided rendezvous technique; Interventional endoscopic ultrasonography
MeSH: Drainage*; Endosonography; Esophagogastric Junction; Esophagus; Humans; Mediastinal Emphysema; Mediastinitis; Needles; Pneumothorax; Punctures; Thorax
From:Gastrointestinal Intervention 2017;6(1):82-84
CountryRepublic 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.