Acute Esophageal Dilation Mimicking Serious Pulmonary Complication After Post-Bariatric Abdominoplasty

Bogdanov-Berezovsky, Alex; Silberstein, Eldad; Arnon, Ofer; Sverdlov, Michael; Krieger, Yuval

doi:10.1007/s00266-012-0021-0

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…7,11 The first report described acute respiratory distress within 24 hours of an abdominoplasty in a 39-year-old female patient. 11 A CT scan was performed to rule out pulmonary embolism, and it revealed severe oesophageal dilatation up to 47 mm in diameter. The patient’s symptoms improved immediately following the band release.…”

Section: Discussionmentioning

confidence: 99%

“…10 Two published cases have reported acute airway compromise secondary to megaoesophagus related to LAGBs. 7,11 The first report described acute respiratory distress within 24 hours of an abdominoplasty in a 39year-old female patient. 11 A CT scan was performed to rule out pulmonary embolism, and it revealed severe oesophageal dilatation up to 47 mm in diameter.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Airway emergency from megaoesophagus: A rare complication of an adjustable gastric band

Lea

Tran

Trochsler

et al. 2022

Anaesth Intensive Care

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A 77-year-old lady with a laparoscopic adjustable gastric band (LAGB), implanted 12 years earlier for obesity, developed an unusual but almost fatal complication, characterised by dysphonia and stridor within minutes and a tensely swollen anterior neck. The condition mimicked haemorrhage into the subcutaneous tissues of the neck, and the airway was secured with an awake fibreoptic intubation. Subsequent computed tomography imaging of the abdomen and chest revealed megaoesophagus with dilatation up to 7 cm, proximal to the gastric band. The band was then deflated percutaneously with immediate resolution of the neck swelling. In patients with LAGB in situ, fluid should be removed from the band for any suspected device-associated symptoms such as severe vomiting, severe gastro-oesophageal reflux or neck swelling and respiratory distress. When there is radiological evidence of gross oesophageal dilatation or a high likelihood of an obstructive pathology at the level of the band, a careful nasogastric tube decompression may also resolve reflux, neck swelling or respiratory distress. A complication associated with LAGB should be considered in a patient with unexplained neck swelling or other features of airway obstruction who has an LAGB in situ.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Airway emergency from megaoesophagus: A rare complication of an adjustable gastric band

Lea

Tran

Trochsler

et al. 2022

Anaesth Intensive Care

View full text Add to dashboard Cite

show abstract

Acute Esophageal Dilation in Post-bariatric Patients Undergoing Abdominoplasty Operation

Bogdanov-Berezovsky

Silberstein

2016

Aesthetic Plastic Surgery of the Abdomen

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Severe esophageal dilation causing central airway obstruction: a rare complication of LAGB

Freund

Spira

Reissman

2017

Surgery for Obesity and Related Diseases

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Acute Esophageal Dilation Mimicking Serious Pulmonary Complication After Post-Bariatric Abdominoplasty

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 3 publications

References 7 publications

Airway emergency from megaoesophagus: A rare complication of an adjustable gastric band

Airway emergency from megaoesophagus: A rare complication of an adjustable gastric band

Acute Esophageal Dilation in Post-bariatric Patients Undergoing Abdominoplasty Operation

Severe esophageal dilation causing central airway obstruction: a rare complication of LAGB

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