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KMID : 1048120170060010082
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International Journal of Gastrointestinal Intervention
2017 Volume.6 No. 1 p.82 ~ p.84
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Risks of transesophageal endoscopic ultrasonography-guided biliary drainage
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Okuno Nozomi
Hara Kazuo
Mizuno Nobumasa
Hijioka Susumu
Kuwahara Takamichi
Tajika Masahiro
Tanaka Tsutomu
Ishihara Makoto
Hirayama Yutaka
Onishi Sachiyo
Niwa Yasumasa
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Abstract
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Summary of Event : Pneumoderma, mediastinal emphysema, and bilateral pneumothorax were developed in the patient who had undergone trans-esophageal 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.
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KEYWORD
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Endoscopic ultrasonography, Endoscopic ultrasonography-guided biliary drainage, Endoscopic ultrasonography-guided rendezvous technique, Interventional endoscopic ultrasonography
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