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World J Gastroenterol. Aug 21, 2011; 17(31): 3575-3579
Published online Aug 21, 2011. doi: 10.3748/wjg.v17.i31.3575
Published online Aug 21, 2011. doi: 10.3748/wjg.v17.i31.3575
Management of the complications of endoscopic submucosal dissection
Seong Hwan Kim, Division of Gastroenterology, Department of Internal Medicine, Eulji University, Eulji Hospital, Seoul 139-711, South Korea
Jeong Seop Moon, Division of Gastroenterology, Department of Internal Medicine, Inje University, Seoul Paik Hospital, Seoul 100-032, South Korea
Young Hoon Youn, Division of Gastroenterology, Department of Internal Medicine, Yonsei University, Kang Nam Severance Hospital, Seoul 135-720, South Korea
Ki Myung Lee, Division of Gastroenterology, Department of Internal Medicine, Ajou University Hospital, Suwon 443-721, South Korea
Sung Joon Lee, Division of Gastroenterology, Department of Internal Medicine, Kangwon University Hospital, Chuncheon 200-732, South Korea
Author contributions: Kim SH drafted the manuscript; Youn YH, Lee KM and Lee SJ gathered the data; Moon JS reviewed and edited the manuscript.
Correspondence to: Jeong Seop Moon, MD, Division of Gastroenterology, Department of Internal Medicine, Inje University, Seoul Paik Hospital, 85, 2-ga, Jeo-dong, Jung-gu, Seoul 100-032, South Korea. moonjs2@unitel.co.kr
Telephone: +82-2-22700012 Fax: +82-2-22794021
Received: June 28, 2010
Revised: August 12, 2010
Accepted: August 19, 2010
Published online: August 21, 2011
Revised: August 12, 2010
Accepted: August 19, 2010
Published online: August 21, 2011
Abstract
Endoscopic submucosal dissection (ESD) is currently widely accepted as a standard treatment option for early gastrointestinal neoplasms in Korea. However, ESD has technical difficulties and a longer procedure time than conventional endoscopic resection. So it may have a higher risk of complications than conventional endoscopic resection techniques. We, the ESD study group of Korean Society of Gastrointestinal Endoscopy, have experienced many complications, mostly treated by endoscopic or conservative management. Here, we introduce and share our experiences for management of post ESD complications and review published papers on the topic.
Keywords: Endoscopic submucosal dissection; Complication; Management