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World J Gastrointest Endosc. Apr 16, 2011; 3(4): 67-70
Published online Apr 16, 2011. doi: 10.4253/wjge.v3.i4.67
Published online Apr 16, 2011. doi: 10.4253/wjge.v3.i4.67
Management of complications following endoscopic submucosal dissection for gastric cancer
Yoon Jae Kim, Dong Kyun Park, Department of Gastroenterology, Gachon University of Medicine and Science, Gachon University Gil Hospital, Incheon 405-760, South Korea
Author contributions: Kim YJ and Park DK contributed equally to this paper.
Correspondence to: Dong Kyun Park, MD, PhD, Gachon University Gil Hospital, 1198 Guwol-Dong, Namdong-Gu, Incheon 405-760, South Korea. pdk66@gilhospital.com
Telephone: +82-32-460-8097 Fax: +82-32-460-8098
Received: November 27, 2010
Revised: February 17, 2011
Accepted: February 24, 2011
Published online: April 16, 2011
Revised: February 17, 2011
Accepted: February 24, 2011
Published online: April 16, 2011
Abstract
Endoscopic treatment should be considered for early gastric cancer (EGC) and gastric precancerous lesions. Endoscopic submucosal dissection (ESD) was developed for en bloc removal of a large gastric neoplasm and has been developed following improvements in electrical equipment for hemostasis and dissection and with advances in various knives, hemostatic forceps and endoscopic equipment. ESD is currently the treatment of choice for precancerous lesions or EGC showing mucosal invasion. Hemorrhage and perforation are major complications of ESD for EGC. We describe the complication of ESD procedures in gastric lesions for endoscopists who are relatively inexperienced in ESD and who may lack optimal access to ESD education and facilities.