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- Iatrogenic Intramural Dissection of the Esophagus after Insertion of a Laryngeal Mask Airway
- Hee Young Kim, Seung-Hoon Baek, Yong Hoon Cho, Joo-Yun Kim, Yun Mi Choi, Eun Ji Choi, Jung Pil Yoon, Jung Hyun Park
- Acute Crit Care. 2018;33(4):276-279. Published online June 30, 2017
- DOI: https://doi.org/10.4266/acc.2016.00829
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- 2 Web of Science
- 2 Crossref
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Abstract
PDF - In pediatric patients, a laryngeal mask airway (LMA) is usually used during minor surgeries that require general anesthesia. No esophageal injury has been reported after insertion of an LMA. We report a case of an esophageal injury with intramural dissection after an i-gel® (size, 1.5; Intersurgical Ltd.) insertion in a pediatric patient. A 2-month-old male infant was hospitalized for left inguinal herniorrhaphy. After induction of anesthesia, a trained resident tried to insert an i-gel® . However, it was only successful after three attempts. Dysphagia was sustained until postoperative day 10, and the pediatrician observed duplication of the esophagus on gastroendoscopy. However, a whitish mucosal lesion, which looked like a scar, was observed, and previous lesions suggestive of esophageal duplication were almost healed on postdischarge day 11. His condition was diagnosed as dysphagia and esophagitis due to an esophageal laceration, not esophageal duplication. He was scheduled for symptomatic treatment with a proton pump inhibitor. In conclusion, although an esophageal injury or perforation in pediatric patients is rare, an LMA insertion or a procedure such as aspiration or nasogastric tube insertion should be performed gently to avoid a possible injury to the esophagus in pediatric patients.
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Citations
Citations to this article as recorded by
- Analysis of anesthetic effect of dexmedetomidine in femoral shaft fracture surgery
Yin-Xiao Chen, Jie Lin, Xian-Hua Ye, Xian-Da Zhao, Qun-Xin Yan
Medicine.2022; 101(52): e32388. CrossRef - Size selection of the Ambu AuraOnce laryngeal mask in Chinese men weighing >70 kg: a pilot study
Jiahui Chen, Chunhuan Chen, Wei Xu, Xiaoguang Zhang
Journal of International Medical Research.2021; 49(5): 030006052110166. CrossRef
- Analysis of anesthetic effect of dexmedetomidine in femoral shaft fracture surgery
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