Endoscopic submucosal dissection, Aspiration pneumonia"/> Two Cases of Aspiration Pneumonia after Endoscopic Submucosal Dissection
Korean J Gastrointest Endosc > Volume 42(5); 2011 > Article
Korean Journal of Gastrointestinal Endoscopy 2011;42(5): 301-305.
내시경 점막하 박리술 후에 발생한 흡인성 폐렴 2예
최지영ㆍ김도훈ㆍ안지용ㆍ박현주ㆍ윤귀준ㆍ김영생ㆍ정훈용ㆍ김진호
울산대학교 의과대학 서울아산병원 내과학교실
Two Cases of Aspiration Pneumonia after Endoscopic Submucosal Dissection
Ji Young Choi, M.D., Do Hoon Kim, M.D., Ji Yong Ahn, M.D., Hyun Joo Park, M.D., Gui Jun Yun, M.D., Young Saeng Kim, M.D., Hwoon-Yong Jung, M.D. and Jin-Ho Kim, M.D.
Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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. (Korean J Gastrointest Endosc 2011;42:301-305)
Key Words: Endoscopic submucosal dissection, Aspiration pneumonia
주요어: 내시경 점막하 박리술, 흡인성 폐렴
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