Korean J Helicobacter Up Gastrointest Res.  2013 Jun;13(2):119-123. 10.7704/kjhugr.2013.13.2.119.

Penumomediastinum and Subcutaneous Emphysema Developed Following Gastric Endoscopic Submucosal Dissection: Two Cases

• Jang HW
• Kim BH
• Kang SH
• Moon HS
• Seong JK
• Jeong HY

• KMID: 2143429
• DOI: http://doi.org/10.7704/kjhugr.2013.13.2.119

Abstract

Endoscopic submucosal dissection (ESD) is extensively used for the management of early gastric cancer. But many possible complications can occur. We report here two cases where subcutaneous empysema and pneumomediasinum occurred after ESD of early gastric cancers without perforation. The lesions were close to the esophagogastro-junction. The reason subcutaneous empysema and pneumomediasinum developed is lack of serosa of esophagus. Insufflated air may leak when the muscular layer is exposed during ESD. After intravenous antibiotics and total parenteral nutirition were administered, the patients improved without any other complications.

Keyword

Endoscopic submucosal dissection; Mediastinal emphysema; Subcutanous emphysema

MeSH Terms

Anti-Bacterial Agents
Esophagus
Humans
Mediastinal Emphysema
Serous Membrane
Stomach Neoplasms
Subcutaneous Emphysema
Anti-Bacterial Agents