Aarthy Kannappan, MD, Peter A Walker, MD, John A Primomo, MD, Biswajit Kar, MD, Pranav Loyolka, MD, Igor Gregoric, MD, Sriram Nathan, MD, Rahat Hussain, MD, Bindu Akkanti, MD, Tanya Kajese, MD, Sheilendra Mehta, MD, Kulvinder S Bajwa, MD, Shinil K Shah, DO. University of Texas Medical School at Houston
Introduction: Veno-venous extra corporeal membrane oxygenation (ECMO) in the non-cardiac, adult patient is not commonly used in treatment of overwhelming aspiration pneumonitis.
Case Reports: We report two patients who developed respiratory failure from severe aspiration pneumonitis within 2 months of undergoing a roux-en-Y gastric bypass. Both these patients failed conventional treatment and underwent early rescue with veno-venous EMCO. Both patients survived and returned to baseline functional status.
Discussion: This is one of the first successful reports of veno-venous ECMO being used as rescue therapy for massive aspiration pneumonitis after bariatric surgery. Veno-venous ECMO should be considered early for bariatric patients with severe aspiration penumonitis not responding to conventional treatment strategies.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 77426
Program Number: P131
Presentation Session: Poster (Non CME)
Presentation Type: Poster