| Autor: |
Shenglan Dai, Zhiyue Sun, Yan Shi, Tao Wang, Yaping Xu, Jun Yao |
| Rok vydání: |
2020 |
| DOI: |
10.21203/rs.3.rs-68802/v1 |
| Popis: |
Background: Gastric peroral endoscopic pyloromyotomy(G-POEM) is introduced as a strategy to treat post-operative refractory gastroparesis. An intrathoracic gastric perforation is a rare complication of G-POEM. Case presentation: This report described the case of a patient who suffered with an intrathoracic gastric perforation about 10 days after a G-POEM procedure. A review of the PUBMED literature indexed in English with the key words of perforation and G-POEM was performed and the results were considered. The results indicated that delayed perforation was a rare complication after G-POEM. Overeating may cause the severe intrathoracic gastric dilation and perforation. Furthermore, successful nonsurgical management after G-POEM complicated by delayed perforation could be a highly feasible option, if intensive conservative treatments were used. Conclusions: Delayed perforation after G-POEM treating post-operative refractory can lead to severe mediastinal and thoracic infections. Fully prepared before the G-POEM procedure and effective suture instrument during the procedure may reduce the incidence of perforations. If perforation occurs after G-POEM, conservative treatment can be chosen if a patient’s general situation allows. However, the choice of surgical treatment must not be ignored if the patient's overall condition deteriorates. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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