Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Kim, Eun Ran, Chang, Dong Kyung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Korean Society of Gastrointestinal Endoscopy 2019
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
_version_ 1783409450027057152
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