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Comparison of general anesthesia and conscious sedation in procedure-related complications during esophageal endoscopic submucosal dissection

DC FieldValueLanguage
dc.contributor.author김승현-
dc.contributor.author최용선-
dc.contributor.author최승호-
dc.contributor.author이상길-
dc.contributor.author최용선-
dc.contributor.author최승호-
dc.contributor.author이상길-
dc.date.accessioned2020-10-04T16:49:26Z-
dc.date.available2020-10-04T16:49:26Z-
dc.date.issued2020-08-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/179685-
dc.description.abstractBackground: Endoscopic submucosal dissection (ESD) has a favorable outcome, compared to esophagectomy, for early esophageal neoplasia. Recent studies used general anesthesia for esophageal ESD to minimize complications due to insufficient sedation and patient movement. We aimed to evaluate the safety of general anesthesia in comparison with conscious sedation provided by anesthesiologists for esophageal ESD. Methods: We retrospectively reviewed the electronic medical records of 158 patients who underwent esophageal ESD under general anesthesia or conscious sedation provided by anesthesiologists. We evaluated the incidence of procedure-related complications, including perforation, post-ESD bleeding, cardiopulmonary adverse events (arrhythmia, hypotension, and hypoxemia), procedure failure, stricture, and new lung consolidation after ESD. Cases of frank perforation, post-ESD bleeding requiring a vigorous diagnostic approach, and cardiopulmonary adverse events were regarded as acute complications of ESD. Results: Acute complications occurred only in the conscious sedation group (8/83 [9.6%] vs. 0/75 [0.0%]; p value = 0.007). The numbers of patients with frank perforation, post-ESD bleeding, and cardiopulmonary adverse events were four, one, and three, respectively. Moreover, new lung consolidation after ESD developed only in the conscious sedation group (7/83 [8.4%] vs. 0/75 [0.0%]; p value = 0.014). ESD failed in four patients in the conscious sedation group. The incidences of stricture that required stent insertion and hospital stay after ESD were comparable between the two groups. Conclusion: General anesthesia is associated with a lower incidence of acute procedure-related complications in esophageal ESD compared to conscious sedation provided by anesthesiologists. Therefore, we recommend general anesthesia as a safer option for esophageal ESD.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.titleComparison of general anesthesia and conscious sedation in procedure-related complications during esophageal endoscopic submucosal dissection-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Anesthesiology and Pain Medicine (마취통증의학교실)-
dc.contributor.googleauthorSeung Hyun Kim-
dc.contributor.googleauthorYong Seon Choi-
dc.contributor.googleauthorSang Kil Lee-
dc.contributor.googleauthorHanseul Oh-
dc.contributor.googleauthorSeung Ho Choi-
dc.identifier.doi10.1007/s00464-020-07663-9-
dc.contributor.localIdA05098-
dc.contributor.localIdA04119-
dc.contributor.localIdA04119-
dc.contributor.localIdA04101-
dc.contributor.localIdA04101-
dc.contributor.localIdA02812-
dc.contributor.localIdA02812-
dc.contributor.localIdA04119-
dc.contributor.localIdA04119-
dc.contributor.localIdA04101-
dc.contributor.localIdA04101-
dc.contributor.localIdA02812-
dc.contributor.localIdA02812-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid32468261-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs00464-020-07663-9-
dc.subject.keywordComplication-
dc.subject.keywordConscious sedation-
dc.subject.keywordEsophageal endoscopic submucosal resection-
dc.subject.keywordGeneral anesthesia-
dc.contributor.alternativeNameKim, Seung Hyun-
dc.contributor.affiliatedAuthor김승현-
dc.contributor.affiliatedAuthor최용선-
dc.contributor.affiliatedAuthor최용선-
dc.contributor.affiliatedAuthor최승호-
dc.contributor.affiliatedAuthor최승호-
dc.contributor.affiliatedAuthor이상길-
dc.contributor.affiliatedAuthor이상길-
dc.contributor.affiliatedAuthor최용선-
dc.contributor.affiliatedAuthor최용선-
dc.contributor.affiliatedAuthor최승호-
dc.contributor.affiliatedAuthor최승호-
dc.contributor.affiliatedAuthor이상길-
dc.contributor.affiliatedAuthor이상길-
dc.citation.volume34-
dc.citation.number8-
dc.citation.startPage3560-
dc.citation.endPage3566-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.34(8) : 3560-3566, 2020-08-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Anesthesiology and Pain Medicine (마취통증의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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