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Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements

Endoscopic submucosal dissection (ESD) for early gastric cancer is a well-established procedure with the advantage of resection in an en bloc fashion, regardless of the size, shape, coexisting ulcer, and location of the lesion. However, gastric ESD is a more difficult and meticulous technique, and a...

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Autores principales: Saito, Itaru, Tsuji, Yosuke, Sakaguchi, Yoshiki, Niimi, Keiko, Ono, Satoshi, Kodashima, Shinya, Yamamichi, Nobutake, Fujishiro, Mitsuhiro, Koike, Kazuhiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Gastrointestinal Endoscopy 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198554/
https://www.ncbi.nlm.nih.gov/pubmed/25324997
http://dx.doi.org/10.5946/ce.2014.47.5.398
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author Saito, Itaru
Tsuji, Yosuke
Sakaguchi, Yoshiki
Niimi, Keiko
Ono, Satoshi
Kodashima, Shinya
Yamamichi, Nobutake
Fujishiro, Mitsuhiro
Koike, Kazuhiko
author_facet Saito, Itaru
Tsuji, Yosuke
Sakaguchi, Yoshiki
Niimi, Keiko
Ono, Satoshi
Kodashima, Shinya
Yamamichi, Nobutake
Fujishiro, Mitsuhiro
Koike, Kazuhiko
author_sort Saito, Itaru
collection PubMed
description Endoscopic submucosal dissection (ESD) for early gastric cancer is a well-established procedure with the advantage of resection in an en bloc fashion, regardless of the size, shape, coexisting ulcer, and location of the lesion. However, gastric ESD is a more difficult and meticulous technique, and also requires a longer procedure time, than conventional endoscopic mucosal resection. These factors naturally increase the risk of various complications. The two most common complications accompanying gastric ESD are bleeding and perforation. These complications are known to occur both intraoperatively and postoperatively. However, there are other rare but serious complications related to gastric ESD, including aspiration pneumonia, stenosis, venous thromboembolism, and air embolism. Endoscopists should have sufficient knowledge about such complications and be prepared to deal with them appropriately, as successful management of complications is necessary for the successful completion of the entire ESD procedure.
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spelling pubmed-41985542014-10-16 Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements Saito, Itaru Tsuji, Yosuke Sakaguchi, Yoshiki Niimi, Keiko Ono, Satoshi Kodashima, Shinya Yamamichi, Nobutake Fujishiro, Mitsuhiro Koike, Kazuhiko Clin Endosc Review Endoscopic submucosal dissection (ESD) for early gastric cancer is a well-established procedure with the advantage of resection in an en bloc fashion, regardless of the size, shape, coexisting ulcer, and location of the lesion. However, gastric ESD is a more difficult and meticulous technique, and also requires a longer procedure time, than conventional endoscopic mucosal resection. These factors naturally increase the risk of various complications. The two most common complications accompanying gastric ESD are bleeding and perforation. These complications are known to occur both intraoperatively and postoperatively. However, there are other rare but serious complications related to gastric ESD, including aspiration pneumonia, stenosis, venous thromboembolism, and air embolism. Endoscopists should have sufficient knowledge about such complications and be prepared to deal with them appropriately, as successful management of complications is necessary for the successful completion of the entire ESD procedure. The Korean Society of Gastrointestinal Endoscopy 2014-09 2014-09-30 /pmc/articles/PMC4198554/ /pubmed/25324997 http://dx.doi.org/10.5946/ce.2014.47.5.398 Text en Copyright © 2014 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Saito, Itaru
Tsuji, Yosuke
Sakaguchi, Yoshiki
Niimi, Keiko
Ono, Satoshi
Kodashima, Shinya
Yamamichi, Nobutake
Fujishiro, Mitsuhiro
Koike, Kazuhiko
Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements
title Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements
title_full Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements
title_fullStr Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements
title_full_unstemmed Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements
title_short Complications Related to Gastric Endoscopic Submucosal Dissection and Their Managements
title_sort complications related to gastric endoscopic submucosal dissection and their managements
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4198554/
https://www.ncbi.nlm.nih.gov/pubmed/25324997
http://dx.doi.org/10.5946/ce.2014.47.5.398
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