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, 52 (2), 114-119

Management of Complications of Colorectal Submucosal Dissection


Management of Complications of Colorectal Submucosal Dissection

Eun Ran Kim et al. Clin Endosc.


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.

Keywords: Colorectal neoplasms; Complication; Endoscopic submucosal dissection; Gastrointestinal bleeding; Intestinal perforation.

Conflict of interest statement

Conflicts of Interest:The authors have no financial conflicts of interest.

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    1. Russo P, Barbeiro S, Awadie H, Libanio D, Dinis-Ribeiro M, Bourke M. Management of colorectal laterally spreading tumors: a systematic review and meta-analysis. Endosc Int Open. 2019;7:E239–E259. - PMC - PubMed
    1. Tanaka S, Kashida H, Saito Y, et al. JGES guidelines for colorectal endoscopic submucosal dissection/endoscopic mucosal resection. Dig Endosc. 2015;27:417–434. - PubMed
    1. Cotton PB, Eisen GM, Aabakken L, et al. A lexicon for endoscopic adverse events: report of an ASGE workshop. Gastrointest Endosc. 2010;71:446–454. - PubMed
    1. Okamoto K, Watanabe T, Komeda Y, et al. Risk factors for postoperative bleeding in endoscopic submucosal dissection of colorectal tumors. Oncology. 2017;93 Suppl 1:35–42. - PubMed
    1. Matsumoto M, Fukunaga S, Saito Y, et al. Risk factors for delayed bleeding after endoscopic resection for large colorectal tumors. Jpn J Clin Oncol. 2012;42:1028–1034. - PubMed