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KMID : 0359020110420050301
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Korean Journal of Gastrointestinal Endoscopy
2011 Volume.42 No. 5 p.301 ~ p.305
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Two Cases of Aspiration Pneumonia after Endoscopic Submucosal Dissection
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Choi Ji-Young
Kim Do-Hoon
Ahn Ji-Yong
Park Hyun-Joo
Yun Gui-Jun
Kim Young-Saeng
Jung Hwoon-Yong
Kim Jin-Ho
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Abstract
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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.
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KEYWORD
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Endoscopic submucosal dissection, Aspiration pneumonia
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