{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,25]],"date-time":"2025-10-25T12:40:36Z","timestamp":1761396036748},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T00:00:00Z","timestamp":1622073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2002During extracorporeal membrane oxygenation (ECMO), intra-abdominal hypertension (IAH) can impair ECMO venous drainage, reducing its ability to provide an adequate oxygenated blood flow. When medical therapy is ineffective in managing IAH, guidelines recommend a decompressive laparotomy (DL), though the procedure is associated with several complications and poor outcomes.<\/jats:p><jats:p>\n          Patients and methods\u2002This was a case series of IAH in patients affected with acute respiratory distress syndrome (ARDS) on veno-venous (V-V) ECMO, in whom we performed total water-assisted colonoscopy (t-WAC) to treat IAH.<\/jats:p><jats:p>\n          Results\u2002In three patients who underwent t-WAC, we report a real-time intra-procedural reduction of IAH, normalization of ECMO blood flow, and a reduction of vasopressors and lactates. t-WAC was performed in the context of evident abdominal compartment syndrome with multiorgan failure, and in one case was performed because of IAH and ECMO impairment. One patient was discharged alive, while the other two died of multiorgan failure, although the cause of death was apparently not secondary to IAH.<\/jats:p><jats:p>\n          Conclusions\u2002During ECMO, in select cases,T-WAC may represent a first-line non-invasive approach.<\/jats:p>","DOI":"10.1055\/a-1399-8209","type":"journal-article","created":{"date-parts":[[2021,5,27]],"date-time":"2021-05-27T23:16:28Z","timestamp":1622157388000},"page":"E848-E852","source":"Crossref","is-referenced-by-count":3,"title":["Management of intra-abdominal hypertension during ECMO: Total water-assisted colonoscopy as a step-up minimally invasive treatment, and a literature review"],"prefix":"10.1055","volume":"09","author":[{"given":"Gennaro","family":"Martucci","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione) Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michele","family":"Amata","sequence":"additional","affiliation":[{"name":"Endoscopy Service, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione) Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabrizio","family":"di Francesco","sequence":"additional","affiliation":[{"name":"Abdominal Surgery Unit, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione) Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Traina","sequence":"additional","affiliation":[{"name":"Endoscopy Service, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione) Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Arcadipane","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Intensive Care, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione) Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Lorusso","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoracic Surgery, Heart & Vascular Centre \u2013 Maastricht University Medical Centre"},{"name":"Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, Maastricht, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonino","family":"Granata","sequence":"additional","affiliation":[{"name":"Endoscopy Service, IRCCS-ISMETT (Istituto Mediterraneo per i Trapianti e Terapie ad alta specializzazione) Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,5,27]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"535","DOI":"10.1097\/CCM.0000000000003623","article-title":"Incidence, risk factors, and outcomes of intra-abdominal hypertension in critically ill patients-a prospective multicenter study (IROI study)","volume":"47","author":"A Reintam Blaser","year":"2019","journal-title":"Critical Care Med"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"274","DOI":"10.1016\/j.jcrc.2018.07.024","article-title":"Decompressive laparotomy for the treatment of the abdominal compartment syndrome during extracorporeal membrane oxygenation support","volume":"47","author":"T R Glowka","year":"2018","journal-title":"J Critical Care"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"520","DOI":"10.1097\/MAT.0000000000001045","article-title":"Early decompressive laparotomy for intra-abdominal hypertension following initiation of venovenous extracorporeal membrane oxygenation","volume":"66","author":"F M Boulos","year":"2020","journal-title":"ASAIO J"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1186\/s13054-020-2782-1","article-title":"A Clinician's guide to management of intra-abdominal hypertension and abdominal compartment syndrome in critically ill patients","volume":"24","author":"I E De Laet","year":"2020","journal-title":"Critical care (London, England)"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"179","DOI":"10.1186\/s13054-018-2103-0","article-title":"Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis","volume":"22","author":"L Van Damme","year":"2018","journal-title":"Critical Care (London, England)"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1186\/s13017-018-0167-4","article-title":"The open abdomen in trauma and non-trauma patients: WSES guidelines","volume":"13","author":"F Coccolini","year":"2018","journal-title":"World J Emerg Surg"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.23736\/S0375-9393.18.12677-0","article-title":"Management of abdominal compartment 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updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome","volume":"39","author":"A W Kirkpatrick","year":"2013","journal-title":"Intensive care medicine"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1069","DOI":"10.1053\/j.gastro.2015.03.034","article-title":"Water-assisted colonoscopy","volume":"148","author":"J C Anderson","year":"2015","journal-title":"Gastroenterology"}],"container-title":["Endoscopy International 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