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Management of Complications of Colorectal Submucosal Dissection
Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various difficult lesion, accurate histologic assessment of specimen, an...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Gastrointestinal Endoscopy
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453857/ https://www.ncbi.nlm.nih.gov/pubmed/30959586 http://dx.doi.org/10.5946/ce.2019.063 |
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author | Kim, Eun Ran Chang, Dong Kyung |
author_facet | Kim, Eun Ran Chang, Dong Kyung |
author_sort | Kim, Eun Ran |
collection | PubMed |
description | Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various difficult lesion, accurate histologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher with ESD than with EMR. Moreover, because the colon has a thin wall and limited endoscopic maneuverability, ESD is considered a more challenging and risky procedure when performed in the colon than in the stomach. ESD-related complications are more likely to occur. The significant complications associated with ESD are bleeding, perforation, coagulation syndrome and stenosis, most of which can be treated and prevented by endoscopic intervention and preparation. Therefore, it is important to know how to occur and manage the ESD related complication. |
format | Online Article Text |
id | pubmed-6453857 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-64538572019-04-19 Management of Complications of Colorectal Submucosal Dissection Kim, Eun Ran Chang, Dong Kyung Clin Endosc Focused Review Series: Endoscopic Submucosal Dissection for Colorectal Tumors Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Compared with endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various difficult lesion, accurate histologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher with ESD than with EMR. Moreover, because the colon has a thin wall and limited endoscopic maneuverability, ESD is considered a more challenging and risky procedure when performed in the colon than in the stomach. ESD-related complications are more likely to occur. The significant complications associated with ESD are bleeding, perforation, coagulation syndrome and stenosis, most of which can be treated and prevented by endoscopic intervention and preparation. Therefore, it is important to know how to occur and manage the ESD related complication. Korean Society of Gastrointestinal Endoscopy 2019-03 2019-03-29 /pmc/articles/PMC6453857/ /pubmed/30959586 http://dx.doi.org/10.5946/ce.2019.063 Text en Copyright © 2019 Korean Society of Gastrointestinal Endoscopy 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 | Focused Review Series: Endoscopic Submucosal Dissection for Colorectal Tumors Kim, Eun Ran Chang, Dong Kyung Management of Complications of Colorectal Submucosal Dissection |
title | Management of Complications of Colorectal Submucosal Dissection |
title_full | Management of Complications of Colorectal Submucosal Dissection |
title_fullStr | Management of Complications of Colorectal Submucosal Dissection |
title_full_unstemmed | Management of Complications of Colorectal Submucosal Dissection |
title_short | Management of Complications of Colorectal Submucosal Dissection |
title_sort | management of complications of colorectal submucosal dissection |
topic | Focused Review Series: Endoscopic Submucosal Dissection for Colorectal Tumors |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6453857/ https://www.ncbi.nlm.nih.gov/pubmed/30959586 http://dx.doi.org/10.5946/ce.2019.063 |
work_keys_str_mv | AT kimeunran managementofcomplicationsofcolorectalsubmucosaldissection AT changdongkyung managementofcomplicationsofcolorectalsubmucosaldissection |