著者

新井 絢也 戸田 信夫 黒川 憲 柴田 智華子 黒崎 滋之 船戸 和義 近藤 真由子 高木 馨 小島 健太郎 大木 正隆 関 道治 加藤 順 田川 一海

出版者

一般社団法人 日本消化器内視鏡学会 関東支部

雑誌

Progress of Digestive Endoscopy (ISSN:13489844)

巻号頁・発行日

vol.92, no.1, pp.148-149, 2018-06-15 (Released:2018-07-19)

参考文献数

3

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A 95-year-old female was transferred to our hospital for the purpose of the treatment of cholangitis due to common bile duct stones. One day after removal of bile duct stones with endoscopic retrograde cholangiopancreatography (ERCP) , she suddenly suffered cardiopulmonary arrest. Prompt cardiopulmonary resuscitation was performed, and the spontaneous circulation and breathing resumed. Contrast-enhanced computed tomography revealed pulmonary embolisms (PE) in the bilateral pulmonary arteries. PE is known as a common but sometimes fatal complication after surgery, and prophylactic approaches including early ambulation, wearing compression stockings, intermittent pneumatic compression, and anticoagulants have been proposed based on the risk of developing PE. However, only a few reports have focused on the development of PE as a complication after invasive endoscopic procedures. In this article, we discuss the risk factors and the prophylaxis policy against PE after ERCP.