Stricture occurring after endoscopic submucosal dissection for esophageal and gastric tumors

Title
Stricture occurring after endoscopic submucosal dissection for esophageal and gastric tumors
Author(s)
장병익김광하[김광하]지삼룡[지삼룡]장재영[장재영]신성관[신성관]최기돈[최기돈]이준행[이준행]김상균[김상균]성재규[성재규]전성우[전성우]
Issue Date
201411
Citation
Clinical Endoscopy, v.47, no.6, pp.516 - 522
Abstract
Endoscopic sub mucosal dissection (ESD) is a widely accepted treatment for early gastric and esophageal cancer. Compared to endoscopic mucosal resection, ESD has the advantage of enabling en bloc removal of tumors regardless of their size. However, ESD can result in a large artificial ulcer, which may lead to a considerable deformity. Circumferential mucosal defects of more than three-fourths the esophageal circumference, long longitudinal mucosal defects (>30 mm), and lesions in the upper esophagus are significant risk factors for the development of post-ESD strictures of the esophagus. In the stomach, a circumferential mucosal defects more than three-fourths in extent and longitudinal mucosal defects >5 cm are risk factors of post-ESD stricture. If scheduled early, regular endoscopic balloon dilation is effective in controlling and preventing post-ESD stricture. Moreover, intralesional steroid injections or oral steroids can achieve remission of dysphagia or reduce the need for repeated endoscopic balloon dilation. However, further study is needed to improve the prevention of stricture formation. ? 2014 Korean Society of Gastrointestinal Endoscopy.
URI
http://hdl.handle.net/YU.REPOSITORY/30423http://dx.doi.org/10.5946/ce.2014.47.6.516
ISSN
2234-2400
Appears in Collections:
의과대학 > 내과학교실 > Articles
Files in This Item:
There are no files associated with this item.
Export
RIS (EndNote)
XLS (Excel)
XML


qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

BROWSE