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Comparison of Postoperative Complications after Endoscopic Submucosal Dissection : Differences of Insufflations and Anesthesias
Joint Authors
Gong, Jian
Kobayashi, Mitsuyoshi
Kobara, Hideki
Inoue, Hideyuki
Muramatsu, Akemi
Hagiike, Masanobu
Izuishi, Kunihiko
Masaki, Tsutomu
Suzuki, Yasuyuki
Mori, Hirohito
Nomura, Takako
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-07-07
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Endoscopic submucosal dissection (ESD) has enabled the collective resection and increased the accuracy of pathological diagnosis.
However, ESD requires a long operation time, which results in increased doses of analgesics/sedatives, and causes worsening of respiratory and hemodynamic statuses.
To reduce postoperative complications, we have applied ESD with CO2 insufflation and general anesthesia.
This study included 50 patients who underwent ESD for early gastric cancer, 25 with air insufflation and intravenous anesthesia (Air/IV group), and the remaining 25 with CO2 insufflation and general anesthesia (CO2/GA group).
Postoperative enlarged feeling of the abdomen was observed only in 1 of 25 patients in the CO2/GA group (P=0.0416).
Postoperative severe unrest was observed in none of the patients in the CO2/GA group and in 4 of 25 (16%) patients in the Air/IV group (P=0.0371).
CO2 insufflation and general anesthesia are useful in stabilizing intraoperative conditions and reducing postoperative complications.
American Psychological Association (APA)
Mori, Hirohito& Kobara, Hideki& Muramatsu, Akemi& Inoue, Hideyuki& Kobayashi, Mitsuyoshi& Nomura, Takako…[et al.]. 2011. Comparison of Postoperative Complications after Endoscopic Submucosal Dissection : Differences of Insufflations and Anesthesias. Diagnostic and Therapeutic Endoscopy،Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-492329
Modern Language Association (MLA)
Mori, Hirohito…[et al.]. Comparison of Postoperative Complications after Endoscopic Submucosal Dissection : Differences of Insufflations and Anesthesias. Diagnostic and Therapeutic Endoscopy No. 2011 (2011), pp.1-4.
https://search.emarefa.net/detail/BIM-492329
American Medical Association (AMA)
Mori, Hirohito& Kobara, Hideki& Muramatsu, Akemi& Inoue, Hideyuki& Kobayashi, Mitsuyoshi& Nomura, Takako…[et al.]. Comparison of Postoperative Complications after Endoscopic Submucosal Dissection : Differences of Insufflations and Anesthesias. Diagnostic and Therapeutic Endoscopy. 2011. Vol. 2011, no. 2011, pp.1-4.
https://search.emarefa.net/detail/BIM-492329
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-492329