Management of Complications of Colorectal Submucosal Dissection
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초록
Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Comparedwith endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various diffcult lesion, accuratehistologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher withESD than with EMR. Moreover, because the colon has a thin wall and limited endoscopic maneuverability, ESD is considered a morechallenging 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 betreated and prevented by endoscopic intervention and preparation. Therefore, it is important to know how to occur and manage theESD related complication.
Abstract
Endoscopic submucosal dissection (ESD) is a useful procedure for the treatment of superficial gastrointestinal neoplasm. Comparedwith endoscopic mucosal resection (EMR), ESD has several benefits, which include resectability of various diffcult lesion, accuratehistologic assessment of specimen, and lower recurrence rate. However, the risk of procedure- related complications is higher withESD than with EMR. Moreover, because the colon has a thin wall and limited endoscopic maneuverability, ESD is considered a morechallenging 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 betreated and prevented by endoscopic intervention and preparation. Therefore, it is important to know how to occur and manage theESD related complication.
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