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Risk factors of electrocoagulation syndrome after esophageal endoscopic submucosal dissection

DC Field Value Language
dc.contributor.author김지현-
dc.contributor.author박재준-
dc.contributor.author박효진-
dc.contributor.author윤영훈-
dc.contributor.author정다현-
dc.date.accessioned2018-08-28T16:56:35Z-
dc.date.available2018-08-28T16:56:35Z-
dc.date.issued2018-
dc.identifier.issn1007-9327-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/162090-
dc.description.abstractAIM: To investigate post endoscopic submucosal dissection electrocoagulation syndrome (PEECS) of the esophagus. METHODS: We analyzed 55 consecutive cases with esophageal endoscopic submucosal dissection for superficial esophageal squamous neoplasms at a tertiary referral hospital in South Korea. Esophageal PEECS was defined as "mild" meeting one of the following criteria without any obvious perforation: fever (>/= 37.8 degrees C), leukocytosis (> 10800 cells/muL), or regional chest pain more than 5/10 points as rated on a numeric pain intensity scale. The grade of PEECS was determined as "severe" when meet two or more of above criteria. RESULTS: We included 51 cases without obvious complications in the analysis. The incidence of mild and severe esophageal PEECS was 47.1% and 17.6%, respectively. Risk factor analysis revealed that resected area, procedure time, and muscle layer exposure were significantly associated with PEECS. In multivariate analysis, a resected area larger than 6.0 cm(2) (OR = 4.995, 95%CI: 1.110-22.489, P = 0.036) and muscle layer exposure (OR = 5.661, 95%CI: 1.422-22.534, P = 0.014) were independent predictors of esophageal PEECS. All patients with PEECS had favorable outcomes with conservative management approaches, such as intravenous hydration or antibiotics. CONCLUSION: Clinicians should consider the possibility of esophageal PEECS when the resected area exceeds 6.0 cm(2) or when the muscle layer exposure is noted.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherBaishideng Publishing Group-
dc.relation.isPartOfWORLD JOURNAL OF GASTROENTEROLOGY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleRisk factors of electrocoagulation syndrome after esophageal endoscopic submucosal dissection-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorDae Won Ma-
dc.contributor.googleauthorYoung Hoon Youn-
dc.contributor.googleauthorDa Hyun Jung-
dc.contributor.googleauthorJae Jun Park-
dc.contributor.googleauthorJie-Hyun Kim-
dc.contributor.googleauthorHyojin Park-
dc.identifier.doi10.3748/wjg.v24.i10.1144-
dc.contributor.localIdA00996-
dc.contributor.localIdA01636-
dc.contributor.localIdA01774-
dc.contributor.localIdA02583-
dc.contributor.localIdA03591-
dc.relation.journalcodeJ02795-
dc.identifier.eissn2219-2840-
dc.identifier.pmid29563758-
dc.subject.keywordElectrocoagulation-
dc.subject.keywordEndoscopic submucosal dissection-
dc.subject.keywordEsophageal neoplasm-
dc.subject.keywordSyndrome-
dc.contributor.alternativeNameKim, Ji Hyun-
dc.contributor.alternativeNamePark, Jae Jun-
dc.contributor.alternativeNamePark, Hyo Jin-
dc.contributor.alternativeNameYoun, Young Hoon-
dc.contributor.alternativeNameJung, Da Hyun-
dc.contributor.affiliatedAuthorKim, Ji Hyun-
dc.contributor.affiliatedAuthorPark, Jae Jun-
dc.contributor.affiliatedAuthorPark, Hyo Jin-
dc.contributor.affiliatedAuthorYoun, Young Hoon-
dc.contributor.affiliatedAuthorJung, Da Hyun-
dc.citation.volume24-
dc.citation.number10-
dc.citation.startPage1144-
dc.citation.endPage1151-
dc.identifier.bibliographicCitationWORLD JOURNAL OF GASTROENTEROLOGY, Vol.24(10) : 1144-1151, 2018-
dc.identifier.rimsid59680-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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