• A&A practice · Oct 2023

    Case Reports

    Acute Respiratory Failure Complicating Endoscopic Sleeve Gastroplasty: A Case Report.

    • Shahroze A Ranjha, Mark P Pressler, Randal S Blank, Bruce D Schirmer, and Ryan E Lesh.
    • From the University of Virginia School of Medicine, Charlottesville, Virginia.
    • A A Pract. 2023 Oct 1; 17 (10): e01724e01724.

    AbstractEndoscopic sleeve gastroplasty (ESG) is a safe and minimally invasive procedure for the treatment of obesity. We report the case of a patient with obesity who underwent ESG complicated by postprocedural respiratory failure. During the procedure, she developed a Pao2/fraction of inspired oxygen (Fio2) ratio that necessitated postoperative mechanical ventilation. Chest radiography demonstrated massively dilated loops of bowel, cephalad displacement of both hemidiaphragms, lung volume reduction, and atelectasis. With absorption of luminal carbon dioxide, she was weaned from mechanical ventilation to supplemental oxygen, and she recovered completely. This case highlights postoperative respiratory failure associated with mechanical loading of the respiratory system following ESG.Copyright © 2023 International Anesthesia Research Society.

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