Detailed Information

Cited 0 time in webofscience Cited 12 time in scopus
Metadata Downloads

Stricture occurring after endoscopic submucosal dissection for esophageal and gastric tumorsopen access

Authors
Ha Kim G.Jee S.R.Jang J.Y.Shin S.K.Choi K.D.Lee J.H.Kim S.G.Sung J.K.Choi S.C.Jeon S.W.Jang B.I.Huh K.C.Chang D.K.Jung S.-A.Keum B.Cho J.W.Choi I.J.Jung H.-Y.Korean ESD Study Group
Issue Date
2014
Publisher
Korean Society of Gastrointestinal Endoscopy
Keywords
Endoscopic submucosal dissection; Esophagus; Stomach; Stricture
Citation
Clinical Endoscopy, v.47, no.6, pp.516 - 522
Indexed
SCOPUS
KCI
Journal Title
Clinical Endoscopy
Volume
47
Number
6
Start Page
516
End Page
522
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/9911
DOI
10.5946/ce.2014.47.6.516
ISSN
2234-2400
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.
Files in This Item
There are no files associated with this item.
Appears in
Collections
2. Clinical Science > Department of Gastroenterology and Hepatology > 1. Journal Articles

qrcode

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

Related Researcher

Researcher Keum, Bora photo

Keum, Bora
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
Read more

Altmetrics

Total Views & Downloads

BROWSE