Endoscopic submucosal dissection, Aspiration pneumonia"/>
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Clin Endosc : Clinical Endoscopy



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HOME > Clin Endosc > Volume 42(5); 2011 > Article
Two Cases of Aspiration Pneumonia after Endoscopic Submucosal Dissection
[Epub ahead of print]
DOI: https://doi.org/
Published online: May 28, 2011
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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The greatest advantage of endoscopic submucosal dissection (ESD) in the stomach is that it can be used to perform en bloc resection of a large gastric neoplasm. However, ESD is more technically difficult and more commonly associated with prolonged procedure time and complications than conventional endoscopic mucosal resection. Until now, only a few reports have considered aspiration pneumonia after ESD, which is rare, but can be fatal. We experienced two cases of aspiration pneumonia after ESD with a gastric neoplasm. One was treated by intensive care with mechanical ventilation, and the other by antibiotics only. Prevention is thought to be important for aspiration pneumonia after ESD; therefore, patients at high risk for aspiration pneumonia are urged to take precautions. We considered various factors contributing to aspiration under endoscopy, such as local pharyngeal anesthesia, procedural time, and bleeding. (Korean J Gastrointest Endosc 2011;42:301-305)

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