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For lesions of the entire circumference, oral steroid combined with injection steroid is considered. Endoscopic balloon dilatation (\n                    <jats:styled-content style=\"fixed-case\">EBD<\/jats:styled-content>\n                    ) is the first choice of treatment for stricture after esophageal endoscopic submucosal dissection (\n                    <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>\n                    ). Radical incision and cutting or self\u2010expandable metallic stent can be considered for refractory stricture after\n                    <jats:styled-content style=\"fixed-case\">EBD<\/jats:styled-content>\n                    . In case of intraoperative perforation during esophageal\n                    <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>\n                    , endoscopic clip closure should be initially attempted. Surgery is considered for treatment of delayed perforation. Current standard practice for prevention of delayed bleeding after gastric\n                    <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>\n                    includes prophylactic coagulation of vessels on post\u2010\n                    <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>\n                    ulcers and giving proton pump inhibitors. Chronic kidney disease stage 4 or 5, multiple antithrombotic drug use, anticoagulant use, and heparin bridging therapy are high\u2010risk factors for delayed bleeding after gastric\n                    <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>\n                    . Intraoperative perforation during gastric\n                    <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>\n                    is initially managed by endoscopic clip closure. If endoscopic clip closure is difficult, other methods such as over\u2010the\u2010scope clip (\n                    <jats:styled-content style=\"fixed-case\">OTSC<\/jats:styled-content>\n                    ), polyglycolic acid (\n                    <jats:styled-content style=\"fixed-case\">PGA<\/jats:styled-content>\n                    ) sheet shielding etc. are attempted. Delayed perforation usually requires surgical intervention, but endoscopic closure by\n                    <jats:styled-content style=\"fixed-case\">OTSC<\/jats:styled-content>\n                    or\n                    <jats:styled-content style=\"fixed-case\">PGA<\/jats:styled-content>\n                    sheet may be considered. Resection of three\u2010quarters of the circumference is a risk factor for stenosis after gastric\n                    <jats:styled-content style=\"fixed-case\">ESD<\/jats:styled-content>\n                    . Giving prophylactic local steroid injection and\/or oral steroid is reported, but effectiveness has not been fully verified as has been done for esophageal stricture. The main management method for gastric stenosis is\n                    <jats:styled-content style=\"fixed-case\">EBD<\/jats:styled-content>\n                    but it may cause perforation.\n                  <\/jats:p>","DOI":"10.1111\/den.13388","type":"journal-article","created":{"date-parts":[[2019,4,17]],"date-time":"2019-04-17T06:15:31Z","timestamp":1555481731000},"page":"4-20","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":103,"title":["Management of adverse events related to endoscopic resection of upper gastrointestinal neoplasms: Review of the literature and recommendations from experts"],"prefix":"10.1111","volume":"31","author":[{"given":"Yorimasa","family":"Yamamoto","sequence":"first","affiliation":[{"name":"Division of Gastroenterology Showa University Fujigaoka Hospital Yokohama 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