Achalasia case detected during endoscopy application accompanied by anaesthesia

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dc.authorid0000-0002-6364-0545en_US
dc.authorid0000-0001-9617-0490en_US
dc.authorid0000-0002-1571-1695
dc.contributor.authorDağlı, Recai
dc.contributor.authorBayır, Hakan
dc.contributor.authorErgül, Bilal
dc.contributor.authorKocaoğlu, Nazan
dc.contributor.authorErbesler, Zeynel Abidin
dc.date.accessioned2021-06-23T19:44:10Z
dc.date.available2021-06-23T19:44:10Z
dc.date.issued2016
dc.departmentBAİBÜ, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümüen_US
dc.description.abstractAchalasia is an uncommon dysfunctional neuromuscular disease of the oesophagus. General anaesthesia might be required for its diagnosis and treatment. During the anaesthesia, complications such as oesophagus dilatation-perforation and tracheal aspiration in oesophagus content might be seen. In order to ensure the security of the respiratory tract, rapid intubation might be required [1]. When anaesthesia is required in endoscopy units for diagnosis, equipment and devices standardised for outpatient anaesthesia applications by American Society of Anaesthesiologists (ASA) should immediately be ready [2]. A 41-year-old male patient, who applied to the Gastroenterology Polyclinic due to gastric complaints and had lymphadenopathy detected in his abdomen ultrasonography, was scheduled for conscious endoscopy. He was unable to tolerate the endoscopy which was applied following twelve-hour fasting, and he vomited. Endoscopy with anaesthesia was then planned, rescheduled with two weeks of strict liquid food diet and pineapple juice application. The patient was taken to the endoscopy unit following 24 h of fasting, and was monitored with ECG and pulse oximeter. Intubation was then planned. Anaesthesia induction was conducted with 50 mg of remifentanil and 100 mg of propofol. While O2 was provided with a mask, the intraoral and oropharyngeal area was filled with liquid. Despite rapid aspiration, the contents continuously flowed to intraoral area, and the patient’s saturation dropped. He was immediately intubated. In the meantime, the amount of aspired liquid content was 900 ml. Having reached normal levels of saturation and haemodynamic values in the patient, endoscopy operation began with propofol addition. Significant achalasia and duodenal ulcers were detected. When the patient’s respiration was sufficient, he was extubated. The patient, who did not have respiratory problems and whose haemodynamics were stable, was sent to the service without a problem upon observation at the patient recovery room.en_US
dc.identifier.doi10.5114/pg.2016.61476
dc.identifier.endpage303en_US
dc.identifier.issn1895-5770
dc.identifier.issn1897-4317
dc.identifier.issue4en_US
dc.identifier.pmid28053688en_US
dc.identifier.scopus2-s2.0-85002942472en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage302en_US
dc.identifier.urihttps://doi.org/10.5114/pg.2016.61476
dc.identifier.urihttps://hdl.handle.net/20.500.12491/8932
dc.identifier.volume11en_US
dc.identifier.wosWOS:000390680400014en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorBayır, Hakan
dc.language.isoenen_US
dc.publisherTermedia Publishing House Ltden_US
dc.relation.ispartofGastroenterology Review-Przeglad Gastroenterologicznyen_US
dc.relation.publicationcategoryEditöre Mektup - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectAchalasiaen_US
dc.subjectNeuromuscular Disease
dc.subjectGeneral Anaesthesia
dc.subjectOesophagus Dilatation-Perforation
dc.subjectTracheal Aspiration
dc.titleAchalasia case detected during endoscopy application accompanied by anaesthesiaen_US
dc.typeLetteren_US

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