Prevention and management of spouting bleeding during endoscopic submucosal dissection for large subpedunculated‐type colonic tumor

Tamaru, Yuzuru; Oka, Shiro; Tanaka, Shinji

doi:10.1111/den.12975

Cited by 2 publications

(2 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…1 ). 4 However, dissection and electrocauterization of the submucosal layer containing small-caliber vessels can be performed simultaneously using an endo-knife in swift or forced coagulation modes. In such cases, the speed of dissection should be reduced to enhance coagulation in the vessels.…”

Section: Intraprocedural Complicationsmentioning

confidence: 99%

Management of complications related to colorectal endoscopic submucosal dissection

Gweon

Yang

2023

Clin Endosc

View full text Add to dashboard Cite

Compared to endoscopic mucosal resection (EMR), colonoscopic endoscopic submucosal dissection (C-ESD) has the advantages of higher en bloc resection rates and lower recurrence rates of colorectal neoplasms. Therefore, C-ESD is considered an effective treatment method for laterally spread tumors and early colorectal cancer. However, C-ESD is technically more difficult and requires a longer procedure time than EMR. In addition to therapeutic efficacy and procedural difficulty, safety concerns should always be considered when performing C-ESD in clinical practice. Bleeding and perforation are the main adverse events associated with C-ESD and can occur during C-ESD or after the completion of the procedure. Most bleeding associated with C-ESD can be managed endoscopically, even if it occurs during or after the procedure. More recently, most perforations identified during C-ESD can also be managed endoscopically, unless the mural defect is too large to be sutured with endoscopic devices or the patient is hemodynamically unstable. Delayed perforations are quite rare, but they require surgical treatment more frequently than endoscopically identified intraprocedural perforations or radiologically identified immediate postprocedural perforations. Post-ESD coagulation syndrome is a relatively underestimated adverse event, which can mimic localized peritonitis from perforation. Here, we classify and characterize the complications associated with C-ESD and recommend management options for them.

show abstract

Section: Intraprocedural Complicationsmentioning

confidence: 99%

Management of complications related to colorectal endoscopic submucosal dissection

Gweon

Yang

2023

Clin Endosc

View full text Add to dashboard Cite

show abstract

“…However, excessive thermal injury to the wall of colon may lead to delayed perforation because the colon has a thin wall. Thus, hemostatic forceps should precisely grasp the target vessels and properly coagulate them [2,16]. For the treatment of thick arterial bleeding, clips can be used.…”

Section: Bleedingmentioning

confidence: 99%

Management of Complications of Colorectal Submucosal Dissection

Kim

Chang

2019

Clin Endosc

View full text Add to dashboard Cite

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. clin endosc 2019;52:114-119

show abstract

Prevention and management of spouting bleeding during endoscopic submucosal dissection for large subpedunculated‐type colonic tumor

Abstract: https://onlinelibrary.wiley.com/page/journal/14431661/den12975-sup-0001-vids1.htm a video of this article

Cited by 2 publications

References 5 publications

Management of complications related to colorectal endoscopic submucosal dissection

Management of complications related to colorectal endoscopic submucosal dissection

Management of Complications of Colorectal Submucosal Dissection

Contact Info

Product

Resources

About