pISSN 2636-0004eISSN 2636-0012
pISSN 2636-0004Classification of AE during Third Space Endoscopy3,12,62,76
| Category | Type of AE |
|---|---|
| Severe | Any events requiring prolongation of hospital for > 10 days and ICU admission > 1 night |
| Insufflation related events | |
| - Causing hemodynamic instability | |
| - Requiring premature termination of procedure ± drainage | |
| Mucosal injury (during or after) | |
| - Requiring special closure techniques (stenting/sponge/surgery/drainage) | |
| Bleeding (during or after) | |
| - Requiring blood transfusion | |
| - Causing hemodynamic instability | |
| - Endoscopic reintervention or surgery | |
| Post procedure leak | |
| - Requiring endoscopic reintervention, drainage or surgery | |
| Cardiopulmonary events | |
| - Causing hemodynamic instability | |
| - Requiring premature termination of procedure | |
| Infection | |
| - Causing hemodynamic instability requiring antibiotics ± drainage or surgery | |
| Moderate | Any events requiring prolongation of hospital for 4–10 days and ICU admission for 1 day |
| Insufflation related events with high probability of hemodynamic compromise requiring prolonged withholding of procedure (15 min) ± immediate drainage | |
| - Capno-pericardium | |
| - Mediastinal emphysema | |
| - Tension pneumothorax | |
| Pleural effusion (during or after) | |
| - Requiring drainage ± antibiotics | |
| Mild | Insufflation related events requiring temporary withholding of procedure ± drainage |
| - Retroperitoneum | |
| - Pneumothora | |
| - Capno-peritoneum | |
| Mucosal injury (during or after) which can closed endoscopically | |
| Bleeding (during or after) not requiring blood transfusion or additional endoscopic intervention | |
| Infection requiring prolonged antibiotics | |
| Not an AE | Insufflation related events not requiring any measures and accidently detected during fluoroscopy |
| - Small pneumothorax | |
| - Small pneumoperitoneum | |
| - Retroperitoneum | |
| - Mild mediastinal emphysema | |
| - Subcutaneous emphysema |
AE, adverse event; ICU, intensive care unit.