Efficacy and safety of endoscopic submucosal dissection under general anesthesia

• 作者: Daisuke Kato Hideki Shimaoka Hiroki Okada Hironari Shiwaku Kanefumi Yamashita Ken Yamaura Richiko Beppu Ryo Nakashima Satoshi Nimura Seiichiro Hoshino Takamitsu Sasaki Toshihiro Ohmiya Yuichi Yamashita
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: COMPLICATION Endoscopic SUBMUCOSAL DISSECTION General ANESTHESIA CONSCIOUS SEDATION
• 年，卷（期）: 2016,（13）
• 页码范围: 466-471
• 页数: 6页
• 分类号: R

摘要

AIM: To evaluate the efficacy and safety of endoscopic submucosal dissection (ESD) under general anesthesia.METHODS: From January 2011 to July 2014, 206 consecutive patients had undergone ESD under general anesthesia for neoplasms of the stomach, esophagus,and colorectum were enrolled in this retrospective study.The efficacy and safety of ESD under general anesthesia were assessed.RESULTS: The en bloc resection rate of esophageal, gastric, and colorectal lesions was 100.0%, 98.3%, and 96.1%, respectively. The complication rate of perforation and bleeding were 0.0% and 0.0% in esophageal ESD,1.7% and 1.7% in gastric ESD, and 3.9% and 2.0% in colorectal ESD, respectively. No cases of aspiration pneumonia were observed. All complications were managed by conservative treatment, with no surgical intervention required.CONCLUSION: With the cooperation of an anesthesiologist,ESD under general anesthesia appears to be a useful method, decreasing the risk of complications.