Two Cases of Aspiration Pneumonia after Endoscopic Submucosal Dissection.
- Author:
Ji Young CHOI
1
;
Do Hoon KIM
;
Ji Yong AHN
;
Hyun Joo PARK
;
Gui Jun YUN
;
Young Saeng KIM
;
Hwoon Yong JUNG
;
Jin Ho KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. kdh0358@hanmail.net
- Publication Type:Case Report
- Keywords:
Endoscopic submucosal dissection;
Aspiration pneumonia
- MeSH:
Anesthesia;
Anti-Bacterial Agents;
Endoscopy;
Hemorrhage;
Humans;
Imidazoles;
Critical Care;
Nitro Compounds;
Pneumonia, Aspiration;
Respiration, Artificial;
Stomach;
Stomach Neoplasms
- From:Korean Journal of Gastrointestinal Endoscopy
2011;42(5):301-305
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
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.
