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. 2013 Mar;6(2):115–135. doi: 10.1177/1756283X12468039

Table 5.

Comparing selected published per oral endoscopic myotomy complications.

Study Complications Cases (%)
Costamagna et al. [2012] (10 cases) Intraoperative
 Junctional flap perforation 2/10 (20%)
 Cervical emphysema 2/10 (20%)
 Pneumomediastinum 10/10 (100%)
Postoperative
 Mild chest pain 10/10 (100%)
von Renteln et al. [2012b] (16 cases) Intraoperative
 Full thickness dissection into peritoneal cavity 9/16 (56.3%)
 Full thickness dissection into mediastinum 13/16 (81.3%)
Postoperative
 Cutaneous emphysema 6/16 (37.5%)
 Pneumoperitoneum 8/16 (50%)
 Mucosal perforation 1/16 (6.3%)
 Superficial ulcer at cardia 1/16 (6.3%)
 Ulcer in distal esophagus 1/16 (6.3%)
Follow up
 Erosive esophagitis 1/16 (6.3%)
Yoshida et al. [2012] (161 cases) Postoperative
 Aspiration pneumonia 1/161 (0.6%)
 Lesser omentum inflammation 1/161 (0.6%)
 Submucosal hematoma 1/161(0.6%)
 Pneumothorax 1/161 (0.6%)
Follow up
GERD 17/161(10.6%)
Eleftheriadis et al. [2012] (236 cases) Postoperative
 Local peritonitis 1/197 (0.5%)
 Mucosal laceration in cardia 3/197 (1.5%)
 Intramucosal hematoma 1/197 (0.5%)
 Pneumothorax 1/197 (0.5%)
Ren et al. [2012] (119 cases) Intraoperative
 Cutaneous emphysema 27/119 (22.7%)
 Pneumothorax 3/119 (2.5%)
Postoperative
 Pneumothorax 30/119 (25.2%)
 Subcutaneous emphysema 66/119 (55.5%)
 Mediastinal emphysema 35/119 (29.4%)
 Delayed hemorrhage 1/119 (0.8%)
 Pleural effusion 58/119 (48.7%)
 Segmental atelectasis of the lungs 59/119(49.6%)
 Aeroperitoneum 47/119 (39.5%)
Follow up
 Esophageal stricture 1/119 (0.8%)
 Dehiscence at tunnel entry 1/119 (0.8%)
Swanström [2012] (5 cases) Intraoperative
 Gastric mucosotomies 2/5 (40%)
 Pneumoperitoneum 3/5 (60%)

GERD, gastroesophageal reflux disease