{
  "abstract": "Iatrogenic perforation during endoscopy can rapidly lead to tension pneumoperitoneum, impairing visualisation and causing cardiopulmonary compromise. We describe a multicentre experience using percutaneous needle decompression to manage pneumoperitoneum during endoscopy. Across 60 cases over more than a decade, decompression was uniformly successful, without procedure-related adverse events and enabled completion of the index endoscopic procedure in 98% of patients. These findings support percutaneous needle decompression as a simple, safe and effective adjunct in the acute management of endoscopy-related perforation.",
  "authors": [
    {
      "affiliations": [
        "Division of Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts, USA"
      ],
      "name": "Trent Walradt"
    },
    {
      "affiliations": [
        "Division of Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts, USA"
      ],
      "name": "Daniel Szvarca"
    },
    {
      "affiliations": [
        "Division of Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts, USA"
      ],
      "name": "Jonathan Melendez Torres"
    },
    {
      "affiliations": [
        "Division of Gastroenterology, Brigham and Women’s Hospital, Boston, Massachusetts, USA"
      ],
      "name": "Christopher C Thompson"
    }
  ],
  "title": "Percutaneous needle decompression for endoscopic iatrogenic pneumoperitoneum: assessment of safety and efficacy in real world practice",
  "uid": "23d0061d-cc78-5001-92e4-03e3964c656e"
}