Year 2022 / Volume 114 / Number 12
Digestive Diseases Image
Gastric barotrauma induced by the Sellick maneuver performed to enable endoscopic submucosal dissection

738-739

DOI: 10.17235/reed.2022.8720/2022

Daniela Falcão, Matilde Campos, Isabel Pedroto, Ricardo Küttner-Magalhães,

Abstract
A 55-year-old male underwent endoscopic submucosal dissection (ESD), under general anesthesia and orotracheal intubation, of a 22 mm Paris 0-IIa+0-IIb lesion located in the greater curvature of the medium/distal antrum. It was not possible to start the procedure after several attempts due to permanent belching and inability to maintain adequate gastric distension. ESD was only feasible after performing the Sellick maneuver (manual pressure application at the cricoid cartilage to occlude the upper esophagus), which allowed sustained gastric distension throughout the procedure (60 minutes).
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References
1. Toyonaga H, Morita S, Inokuma T, Ezoe Y. Cricoid pressure to prevent gastric deflation during esophagogastroduodenoscopy. VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy. 2018;3(3):102-5.
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Falcão D, Campos M, Pedroto I, Küttner-Magalhães R. Gastric barotrauma induced by the Sellick maneuver performed to enable endoscopic submucosal dissection . 8720/2022


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Publication history

Received: 16/02/2022

Accepted: 20/02/2022

Online First: 23/02/2022

Published: 12/12/2022

Article revision time: 2 days

Article Online First time: 7 days

Article editing time: 299 days


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