Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 4 Issue 2

Pulmonary Air Embolism (PAE): Complication during TaTME is a Cause for Concern

Abdul Waheed1*, Alfredo Tirado2, Veronica Tucci2, Shaikh A Hai3, Vinay Prasad4 and Noor Nama5

1General Surgery, University of South Florida, Tampa, Florida
2Department of Emergency Medicine, Oakhill Hospital, Florida, USA
3Department of Surgery, East Florida Division GME Consortium, Westside Regional Medical Center, Plantation, FL, USA
4Pathology and Laboratory Medicine, Nationwide Children’s Hospital, Columbus, Ohio
5Bolan Medical College, Pakistan

*Corresponding Author: Abdul Waheed, General Surgery, University of South Florida, Tampa, Florida.

Received: December 02, 2020; Published: January 22, 2021



The transanal approach to performing total mesorectal excision (TME) for both rectal cancer and inflammatory IBD has grown significantly over the last decade. In spite of the known relatively commoner complications associated with this approach to the rectum, the increase in surgical volume allows for evaluation and stratification of less frequent complications such as embolism. We present a review article on the very limited studies available on the incidence of PAE occurring during taTME.

Keywords: Pulmonary Air Embolism; Transanal Total Mesorectal Excision; Refractory Ulcerative Colitis



  1. Zhang W., et al. “Successful resuscitation after carbon dioxide embolism during laparoscopic-assisted abdominoperineal resection”. Singapore Medical Journal 7 (2005): 347-348.
  2. Buchs NC., et al. “Transanal total mesorectal excision: A valid option for rectal cancer?” World Journal of Gastroenterology 41 (2015): 11700-11708.
  3. Ratcliffe F., et al. “CO2 embolus: an important complication of TaTME surgery”. Techniques in Coloproctology 1 (2017): 61-62.
  4. Donepudi S., et al. “Air embolism complicating gastrointestinal endoscopy: A systematic review”. World Journal of Gastrointestinal Endoscopy 8 (2013): 359-365.
  5. Chen N., et al. “Mesenteric air embolism following enteroscopic small bowel tattooing procedure”. Journal of Clinical Imaging Science 2 (2012): 86.
  6. Schmandra TC., et al. “Transoesophageal echocardiography shows high risk of gas embolism during laparoscopic hepatic resection under carbon dioxide pneumoperitoneum”. British Journal of Surgery2 (2002): 870-876.
  7. Orebaugh SL. “Venous air embolism: clinical and experimental considerations”. Critical Care Medicine8 (1992): 1169-1177.
  8. Sharma KC., et al. “Laparoscopic surgery and its potential for medical complications”. Heart Lung1 (1997): 52-64; quiz 65-67.
  9. Mirski MA., et al. “Diagnosis and treatment of vascular air embolism”. Anesthesiology1 (2007): 164-177.
  10. Xu YQ and JX Zhang. “Clinical study on echocardiography combined with end-tidal CO2 monitoring in preventing the venous air embolism during operative hysteroscopy”. Zhonghua Fu Chan Ke Za Zhi11 (2013): 828-832.
  11. Jasudavisius A., et al. “A systematic review of transthoracic and transesophageal echocardiography in non-cardiac surgery: implications for point-of-care ultrasound education in the operating room”. Canadian Journal of Anaesthesia4 (2016): 480-487.
  12. Kostadima E and E Zakynthinos. “Pulmonary embolism: pathophysiology, diagnosis, treatment”. Hellenic Journal of Cardiology 2 (2007): 94-107.
  13. Becker RC., et al. “Pulmonary embolism: a review of 200 cases with emphasis on pathophysiology, diagnosis, and treatment”. Cleveland Clinic Journal of Medicine 3 (1984): 519-529.
  14. van Belle A., et al. “Effectiveness of managing suspected pulmonary embolism using an algorithm combining clinical probability, D-dimer testing, and computed tomography”. JAMA 2 (2006): 172-179.
  15. Wells PS., et al. “Excluding pulmonary embolism at the bedside without diagnostic imaging: management of patients with suspected pulmonary embolism presenting to the emergency department by using a simple clinical model and d-dimer”. Annals of Internal Medicine 2 (2001): 98-107.


Citation: Abdul Waheed., et al. “Pulmonary Air Embolism (PAE): Complication during TaTME is a Cause for Concern”. Acta Scientific Gastrointestinal Disorders 4.2 (2021): 03-05.


Acceptance rate35%
Acceptance to publication20-30 days

Indexed In

News and Events

  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is July 10, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US