Gastric Endoscopic submucosal disssection(ESD): Complications
The major complication of ESD is bleeding. The amount of intraoperative bleeding that can be divided into intraoperative bleeding and postoperative bleeding was determined by post-op because it was difficult to accurately measure during the procedure. In one of the articles, the bleeding was expressed as significant intraoperative bleeding when Hb decreased more than 2g / The ratio is about 7%. Less bleeding occurs at a higher rate. To prevent intraoperative bleeding, it is important to clearly visualize the endoscopic view through sufficient submucosal injection, coagulate visible blood vessels, and cut the deep submucosal layer to a suitable depth. If bleeding occurs, use a water jet to quickly locate the bleeding site. The bleeding risk varies depending on the site. Compared to antrum, the middle and upper third of the body have a vascular rich submucosal layer, which is highly likely to cause bleeding. Post-op bleeding is known to occur at 5.3 to 15.6%. PPI is known to be effective...