What is the prevalence of pneumomediastinum (PM) in patients undergoing laparoscopic esophageal surgery?

Updated: Feb 26, 2019
  • Author: Patrick L Carolan, MD; Chief Editor: Girish D Sharma, MD, FCCP, FAAP  more...
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Answer

A study from Nashville, Tennessee, reported the frequency of extra-abdominal gas in a series of patients undergoing laparoscopic esophageal surgery. Forty-seven percent of patients (N = 45) had evidence of extra-abdominal air on chest radiography. Of these, 86% had a pneumomediastinum. Pneumomediastinum persisted at least 1 postoperative day in two thirds of these cases. However, no mortality or morbidity was attributable to the presence of pneumomediastinum.


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