Detailed Information

Cited 5 time in webofscience Cited 6 time in scopus
Metadata Downloads

Predictive Factors of Atelectasis Following Endoscopic Resection

Authors
Choe, Jung WanJung, Sung WooSong, Jong KyuShim, Eu ddeumChoo, Ji YoungKim, Seung YoungHyun, Jong JinKoo, Ja SeolYim, Hyung JoonLee, Sang Woo
Issue Date
Jan-2016
Publisher
Kluwer Academic/Plenum Publishers
Keywords
Atelectasis; Endoscopic resection; Sedation
Citation
Digestive Diseases and Sciences, v.61, no.1, pp.181 - 188
Indexed
SCIE
SCOPUS
Journal Title
Digestive Diseases and Sciences
Volume
61
Number
1
Start Page
181
End Page
188
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/54142
DOI
10.1007/s10620-015-3844-0
ISSN
0163-2116
Abstract
Background and Aim: Atelectasis is one of the pulmonary complications associated with anesthesia. Little is known about atelectasis following endoscopic procedures under deep sedation. This study evaluated the frequency, risk factors, and clinical course of atelectasis after endoscopic resection. Methods: A total of 349 patients who underwent endoscopic resection of the upper gastrointestinal tract at a single academic tertiary referral center from March 2010 to October 2013 were enrolled. Baseline characteristics and clinical data were retrospectively reviewed from medical records. To identify atelectasis, we compared the chest radiography taken before and after the endoscopic procedure. Results: Among the 349 patients, 68 (19.5 %) had newly developed atelectasis following endoscopic resection. In univariate logistic regression analysis, atelectasis correlated significantly with high body mass index, smoking, diabetes mellitus, procedure duration, size of lesion, and total amount of propofol. In multiple logistic regression analysis, body mass index, procedure duration, and total propofol amount were risk factors for atelectasis following endoscopic procedures. Of the 68 patients with atelectasis, nine patients developed fever, and six patients displayed pneumonic infiltration. The others had no symptoms related to atelectasis. Conclusions: The incidence of radiographic atelectasis following endoscopic resection was nearly 20 %. Obesity, procedural time, and amount of propofol were the significant risk factors for atelectasis following endoscopic procedure. Most cases of the atelectasis resolved spontaneously with no sequelae.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Radiology > 1. Journal Articles
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

qrcode

Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.

Related Researcher

Researcher Lee, Sang Woo photo

Lee, Sang Woo
안산병원 (Department of Gastroenterology and Hepatology, Ansan Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE