Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide
Background and Aims: GI tract perforations during endoscopy can lead to serious adverse events such as tension pneumoperitoneum. In such cases, intraprocedural percutaneous needle decompression can be a lifesaving technique, in addition to allowing procedure completion. The aim of this study is to r...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-01-01
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| Series: | VideoGIE |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2468448124001383 |
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| author | Natalie J. Wilson, MD Rahul Karna, MD Giovanni A. Roldan, MD Roberto Osorio Cintron, RN Alexander Leaf, RN Daniela Guerrero Vinsard, MD Mohammad Bilal, MD |
| author_facet | Natalie J. Wilson, MD Rahul Karna, MD Giovanni A. Roldan, MD Roberto Osorio Cintron, RN Alexander Leaf, RN Daniela Guerrero Vinsard, MD Mohammad Bilal, MD |
| author_sort | Natalie J. Wilson, MD |
| collection | DOAJ |
| description | Background and Aims: GI tract perforations during endoscopy can lead to serious adverse events such as tension pneumoperitoneum. In such cases, intraprocedural percutaneous needle decompression can be a lifesaving technique, in addition to allowing procedure completion. The aim of this study is to review the indications for percutaneous needle decompression and provide a step-by-step procedural guide with case examples. Methods: This review article and accompanying video review the technique for percutaneous needle decompression for pneumoperitoneum during endoscopy-related perforation, providing a step-by-step procedural guide illustrated with 2 case examples. Results: In both case examples, intraprocedural needle decompression resulted in rapid normalization of hemodynamics and allowed time to safely complete the procedures after endoscopic closure of the perforation. Conclusions: Early recognition of pneumoperitoneum followed by intraprocedural percutaneous needle decompression with a large-bore catheter can allow time for defect closure and procedure completion or can serve as a temporizing measure until surgical intervention. Endoscopists should be comfortable performing this lifesaving technique in cases of endoscopy-related perforation and/or pneumoperitoneum. |
| format | Article |
| id | doaj-art-0c272e8ce0004d35a272f5c0626bf074 |
| institution | Kabale University |
| issn | 2468-4481 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | VideoGIE |
| spelling | doaj-art-0c272e8ce0004d35a272f5c0626bf0742025-01-22T05:43:00ZengElsevierVideoGIE2468-44812025-01-011016065Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guideNatalie J. Wilson, MD0Rahul Karna, MD1Giovanni A. Roldan, MD2Roberto Osorio Cintron, RN3Alexander Leaf, RN4Daniela Guerrero Vinsard, MD5Mohammad Bilal, MD6Department of Internal Medicine, University of Minnesota, Minneapolis, Minnesota, USADivision of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USADivision of Gastroenterology, Hepatology, and Nutrition, University of Minnesota, Minneapolis, Minnesota, USADivision of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, Minneapolis, Minnesota, USADivision of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, Minneapolis, Minnesota, USADivision of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, Minneapolis, Minnesota, USADivision of Gastroenterology and Hepatology, Minneapolis Veteran Affairs Medical Center, Minneapolis, Minnesota, USABackground and Aims: GI tract perforations during endoscopy can lead to serious adverse events such as tension pneumoperitoneum. In such cases, intraprocedural percutaneous needle decompression can be a lifesaving technique, in addition to allowing procedure completion. The aim of this study is to review the indications for percutaneous needle decompression and provide a step-by-step procedural guide with case examples. Methods: This review article and accompanying video review the technique for percutaneous needle decompression for pneumoperitoneum during endoscopy-related perforation, providing a step-by-step procedural guide illustrated with 2 case examples. Results: In both case examples, intraprocedural needle decompression resulted in rapid normalization of hemodynamics and allowed time to safely complete the procedures after endoscopic closure of the perforation. Conclusions: Early recognition of pneumoperitoneum followed by intraprocedural percutaneous needle decompression with a large-bore catheter can allow time for defect closure and procedure completion or can serve as a temporizing measure until surgical intervention. Endoscopists should be comfortable performing this lifesaving technique in cases of endoscopy-related perforation and/or pneumoperitoneum.http://www.sciencedirect.com/science/article/pii/S2468448124001383 |
| spellingShingle | Natalie J. Wilson, MD Rahul Karna, MD Giovanni A. Roldan, MD Roberto Osorio Cintron, RN Alexander Leaf, RN Daniela Guerrero Vinsard, MD Mohammad Bilal, MD Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide VideoGIE |
| title | Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide |
| title_full | Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide |
| title_fullStr | Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide |
| title_full_unstemmed | Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide |
| title_short | Percutaneous needle decompression for tension pneumoperitoneum during GI endoscopy: a step-by-step guide |
| title_sort | percutaneous needle decompression for tension pneumoperitoneum during gi endoscopy a step by step guide |
| url | http://www.sciencedirect.com/science/article/pii/S2468448124001383 |
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