Bleeding complication after endoscopic submucosal dissection of gastric neoplasm
Endoscopic submucosal dissection (ESD) is recognized as an effective treatment for superficial gastric neoplasm without metastasis because results of ESD show the high en bloc resection rate and low local recurrence rate. Recently, the indications for ESD have been broadened in the field of therapeu...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2019-07-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://doi.org/10.18528/ijgii190006 |
| _version_ | 1811223398927302656 |
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| author | Ji Yong Ahn |
| author_facet | Ji Yong Ahn |
| author_sort | Ji Yong Ahn |
| collection | DOAJ |
| description | Endoscopic submucosal dissection (ESD) is recognized as an effective treatment for superficial gastric neoplasm without metastasis because results of ESD show the high en bloc resection rate and low local recurrence rate. Recently, the indications for ESD have been broadened in the field of therapeutic endoscopy with regard to its safety and efficacy. However, complications can be happened after procedure and post-ESD bleeding is one of the major adverse events which may lead to serious clinical situation of patient. The mechanism of post-ESD ulcer which is made by iatrogenic procedure is different from peptic ulcer which is created under low pH, therefore, the risk factors and treatment methods of post-ESD bleeding is somewhat different from peptic ulcer bleeding. With these reasons, endoscopist should know about the definitions and influencing factors of post-ESD bleeding before and after procedure, and should manage using proper hemostatic methods when post-ESD bleeding is happened. In this review, I try to overview about the post-ESD bleeding and to know the methods of treatment and prevention of bleeding. |
| first_indexed | 2024-04-12T08:31:02Z |
| format | Article |
| id | doaj.art-9be349aa0b56416195f75805d60680f9 |
| institution | Directory Open Access Journal |
| issn | 2636-0012 |
| language | English |
| last_indexed | 2024-04-12T08:31:02Z |
| publishDate | 2019-07-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj.art-9be349aa0b56416195f75805d60680f92022-12-22T03:40:12ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00122019-07-018312312610.18528/ijgii19000610.18528/ijgii190006Bleeding complication after endoscopic submucosal dissection of gastric neoplasmJi Yong Ahn0Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, KoreaEndoscopic submucosal dissection (ESD) is recognized as an effective treatment for superficial gastric neoplasm without metastasis because results of ESD show the high en bloc resection rate and low local recurrence rate. Recently, the indications for ESD have been broadened in the field of therapeutic endoscopy with regard to its safety and efficacy. However, complications can be happened after procedure and post-ESD bleeding is one of the major adverse events which may lead to serious clinical situation of patient. The mechanism of post-ESD ulcer which is made by iatrogenic procedure is different from peptic ulcer which is created under low pH, therefore, the risk factors and treatment methods of post-ESD bleeding is somewhat different from peptic ulcer bleeding. With these reasons, endoscopist should know about the definitions and influencing factors of post-ESD bleeding before and after procedure, and should manage using proper hemostatic methods when post-ESD bleeding is happened. In this review, I try to overview about the post-ESD bleeding and to know the methods of treatment and prevention of bleeding.https://doi.org/10.18528/ijgii190006Endoscopic resectionHemorrhageNeoplasmStomach |
| spellingShingle | Ji Yong Ahn Bleeding complication after endoscopic submucosal dissection of gastric neoplasm International Journal of Gastrointestinal Intervention Endoscopic resection Hemorrhage Neoplasm Stomach |
| title | Bleeding complication after endoscopic submucosal dissection of gastric neoplasm |
| title_full | Bleeding complication after endoscopic submucosal dissection of gastric neoplasm |
| title_fullStr | Bleeding complication after endoscopic submucosal dissection of gastric neoplasm |
| title_full_unstemmed | Bleeding complication after endoscopic submucosal dissection of gastric neoplasm |
| title_short | Bleeding complication after endoscopic submucosal dissection of gastric neoplasm |
| title_sort | bleeding complication after endoscopic submucosal dissection of gastric neoplasm |
| topic | Endoscopic resection Hemorrhage Neoplasm Stomach |
| url | https://doi.org/10.18528/ijgii190006 |
| work_keys_str_mv | AT jiyongahn bleedingcomplicationafterendoscopicsubmucosaldissectionofgastricneoplasm |