Endoscopy 2021; 53(S 01): S80
DOI: 10.1055/s-0041-1724450
Abstracts | ESGE Days
ESGE Days 2021 Oral presentations
Saturday, 27 March 2021 12:00 – 12:45 Upper GI endoscopy: Complications, bleeding, and more Room 6

Delayed Bleeding & Intra-Tunnel Hematoma After Poem: Salvage Endoscopy Management With Full Recovery

I Omella
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
D de Frutos
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
J Santiago
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
B Agudo
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
B Tormo
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
L Gomez-Pimpollo
2   Department of Radiology, Puerta de Hierro University Hospital, Madrid, Spain
,
P Matallanos
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
MS Delgado
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
E Blazquez
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
M Artillo
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
M Bote
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
,
A Herreros de Tejada
1   Department of Gastroenterology, Puerta de Hierro University Hospital, Madrid, Spain
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Per Oral Endoscopy Miotomy (POEM) is a safe technique, and major adverse effects (AE) are commonly <5 % in largest series. Delayed bleeding with intra-tunnel hematoma is uncommonly reported in literature. If suspected due to sudden dysphagia, chest pain, hematemesis and/or drop of hemoglobin, urgent chest CT can confirm this serious AE. Salvage endoscopy within 24-48h for mechanical removal of intra-tunnel clot and local hemostasia of bleeding vessels can prevent ischemic phenomena and stop bleeding, allowing complete recovery.

Citation: Omella I, de Frutos D, Santiago J et al. OP193V DELAYED BLEEDING & INTRA-TUNNEL HEMATOMA AFTER POEM: SALVAGE ENDOSCOPY MANAGEMENT WITH FULL RECOVERY. Endoscopy 2021; 53: S80.



Publication History

Article published online:
19 March 2021

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