Abstract
A 66-year-old man underwent endoscopic submucosal dissection (ESD) with the use of carbon dioxide insufflation to resect a gastric adenoma (A, before ESD; B, after ESD). His history included surgical reconstruction of a choledochojejunostomy performed because of bile duct stricture after living donor liver transplantation. Although the ESD was uneventful, the patient had severe epigastric pain with a high fever the next day. Laboratory tests revealed elevated leukocytes and hepatobiliary enzymes.
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