Gastrointest Interv.  2017 Mar;6(1):82-84. 10.18528/gii.170008.

Risks of transesophageal endoscopic ultrasonography-guided biliary drainage

• Okuno N
• Hara K
• Mizuno N
• Hijioka S
• Kuwahara T
• Tajika M
• Tanaka T
• Ishihara M
• Hirayama Y
• Onishi S
• Niwa Y

• KMID: 2376916
• DOI: http://doi.org/10.18528/gii.170008

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.

Keyword

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

MeSH Terms

Drainage*
Endosonography
Esophagogastric Junction
Esophagus
Humans
Mediastinal Emphysema
Mediastinitis
Needles
Pneumothorax
Punctures
Thorax