{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T15:35:21Z","timestamp":1789659321605,"version":"4.0.1"},"reference-count":30,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2019,4,1]],"date-time":"2019-04-01T00:00:00Z","timestamp":1554076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["UEG Journal"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Endoscopic submucosal dissection (ESD) for early esophageal and stomach cancer is usually performed under general anesthesia. However, propofol sedation without endotracheal intubation has been suggested as a viable alternative.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>The objective of this study was to evaluate the safety of propofol sedation without endotracheal intubation during ESD in the upper gastrointestinal tract.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a retrospective cohort study of patients who underwent ESD for upper gastrointestinal tumors with propofol\u2010remifentanil analgosedation in a tertiary referral center in the Netherlands between October 2013 and February 2018. Primary endpoints were the rates of intraprocedural endoscopy\u2010 and anesthesia\u2010related complications. Secondary endpoints were the postprocedural complication rates within 30 days and endotracheal intubation conversion rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 88 patients, intraprocedural ESD\u2010related complications occurred in three patients (3.4%). Intraprocedural anesthesia\u2010related complications occurred in two patients (2.3%), one of whom required conversion to endotracheal intubation. Postprocedural ESD\u2010related complications occurred in 14 patients (15.9%), and minor postprocedural complications occurred in two patients (2.3%). Eighty\u2010two (93.2%) patients were discharged within one day after ESD. No patient was readmitted for anesthesia\u2010related complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Propofol\u2010based sedation without endotracheal intubation is safe for ESD procedures in the esophagus and stomach with low anesthesia\u2010related complication rates and short hospital stay.<\/jats:p><\/jats:sec>","DOI":"10.1177\/2050640619831126","type":"journal-article","created":{"date-parts":[[2019,2,16]],"date-time":"2019-02-16T15:32:32Z","timestamp":1550331152000},"page":"405-411","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Propofol sedation without endotracheal intubation is safe for endoscopic submucosal dissection in the esophagus and stomach"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9793-0957","authenticated-orcid":false,"given":"SEM","family":"van de Ven","sequence":"first","affiliation":[{"name":"Department of Gastroenterology and Hepatology Erasmus MC University Medical Center Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L","family":"Leliveld","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Erasmus MC University Medical Center Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M","family":"Klimek","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Erasmus MC University Medical Center Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"TRH","family":"Hilkemeijer","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Erasmus MC University Medical Center Rotterdam the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MJ","family":"Bruno","sequence":"additional","affiliation":[{"name":"Department of 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