Anesthetic Consideration for Peroral Endoscopic Myotomy
A recent achalasia guideline suggests that peroral endoscopic myotomy (POEM) is a safe option for achalasia that is as effective as Heller myotomy. It is recommended that POEM should be performed under general anesthesia. The incidence of adverse events such as bleeding, perforation, and carbon diox...
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Hoon Jai Chun
2019-11-01
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doaj-149d27d4ca244ae18101807d8681907f2020-11-25T02:04:08ZengHoon Jai ChunClinical Endoscopy2234-24002234-24432019-11-0152654955510.5946/ce.2019.0337238Anesthetic Consideration for Peroral Endoscopic MyotomyYun-Sic Bang0Chunghyun Park Department of Anesthesiology and Pain Medicine, CHA Bundang Medical Center, CHA University, Seongnam, KoreaA recent achalasia guideline suggests that peroral endoscopic myotomy (POEM) is a safe option for achalasia that is as effective as Heller myotomy. It is recommended that POEM should be performed under general anesthesia. The incidence of adverse events such as bleeding, perforation, and carbon dioxide insufflation-related complications was lower in POEM under endotracheal general anesthesia than in POEM under sedation. Subcutaneous emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum, and accompanying hemodynamic instability can be caused by carbon dioxide insufflation. Treatment of possible physiological changes and adverse events during the POEM procedure from the point of view of anesthesiologists may give endoscopists a new perspective on improving patient safety. The territory of therapeutic endoscopy can be expanded through cooperation with other departments, including anesthesia services. Efforts to understand different perspectives will certainly help not only secure patient safety but also expand the area of treatment.http://www.e-ce.org/upload/pdf/ce-2019-033.pdfcomplicationgeneral endotracheal anesthesiaperoral endoscopic myotomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yun-Sic Bang Chunghyun Park |
spellingShingle |
Yun-Sic Bang Chunghyun Park Anesthetic Consideration for Peroral Endoscopic Myotomy Clinical Endoscopy complication general endotracheal anesthesia peroral endoscopic myotomy |
author_facet |
Yun-Sic Bang Chunghyun Park |
author_sort |
Yun-Sic Bang |
title |
Anesthetic Consideration for Peroral Endoscopic Myotomy |
title_short |
Anesthetic Consideration for Peroral Endoscopic Myotomy |
title_full |
Anesthetic Consideration for Peroral Endoscopic Myotomy |
title_fullStr |
Anesthetic Consideration for Peroral Endoscopic Myotomy |
title_full_unstemmed |
Anesthetic Consideration for Peroral Endoscopic Myotomy |
title_sort |
anesthetic consideration for peroral endoscopic myotomy |
publisher |
Hoon Jai Chun |
series |
Clinical Endoscopy |
issn |
2234-2400 2234-2443 |
publishDate |
2019-11-01 |
description |
A recent achalasia guideline suggests that peroral endoscopic myotomy (POEM) is a safe option for achalasia that is as effective as Heller myotomy. It is recommended that POEM should be performed under general anesthesia. The incidence of adverse events such as bleeding, perforation, and carbon dioxide insufflation-related complications was lower in POEM under endotracheal general anesthesia than in POEM under sedation. Subcutaneous emphysema, pneumothorax, pneumomediastinum, pneumoperitoneum, and accompanying hemodynamic instability can be caused by carbon dioxide insufflation. Treatment of possible physiological changes and adverse events during the POEM procedure from the point of view of anesthesiologists may give endoscopists a new perspective on improving patient safety. The territory of therapeutic endoscopy can be expanded through cooperation with other departments, including anesthesia services. Efforts to understand different perspectives will certainly help not only secure patient safety but also expand the area of treatment. |
topic |
complication general endotracheal anesthesia peroral endoscopic myotomy |
url |
http://www.e-ce.org/upload/pdf/ce-2019-033.pdf |
work_keys_str_mv |
AT yunsicbang anestheticconsiderationforperoralendoscopicmyotomy AT chunghyunpark anestheticconsiderationforperoralendoscopicmyotomy |
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