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Atrial fibrillation as an unexpected complication after peroral endoscopic myotomy (POEM): a case report. | LitMetric

Atrial fibrillation as an unexpected complication after peroral endoscopic myotomy (POEM): a case report.

Surg Laparosc Endosc Percutan Tech

*Department of General Surgery, McGill University Health Centre †Department of Diagnostic Radiology, McGill University Health Centre, Montreal General Hospital ‡Department of Gastroenterology, Centre Hospitalier de l'Université de Montréal, Montréal, QC, Canada.

Published: October 2014

AI Article Synopsis

  • - Peroral endoscopic myotomy (POEM) is a new, minimally invasive procedure for treating achalasia, which has proven to be safe and effective with minor complications post-surgery.
  • - This case report highlights a unique incident where a patient developed atrial fibrillation due to a hematoma in the submucosal tunnel after the POEM procedure, marking the first known case of a delayed hematoma following this surgery.
  • - The report emphasizes the importance of documenting potential complications and includes radiographic images to enhance understanding, alongside a brief literature review on known complications from POEM.

Article Abstract

Peroral endoscopic myotomy (POEM) is an entirely endoscopic approach for the treatment of achalasia. This new procedure has been shown to be safe, effective, and associated with only minor complications in the postoperative period. This case report describes the development of atrial fibrillation after POEM secondary to direct compression from a hematoma in the submucosal tunnel. To our knowledge, this is the first report of a delayed hematoma after POEM. This procedure is still novel, and it is important to continue to share information about potential complications and long-term results. This report also includes several interesting radiographic images to illustrate what occurred. Finally, we provide a brief review of the literature on complications that have been described after POEM.

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Source
http://dx.doi.org/10.1097/SLE.0000000000000094DOI Listing

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