Second-look endoscopy with prophylactic hemostasis is still effective after endoscopic submucosal dissection for gastric neoplasm

被引:13
作者
Jung, Ji Hye [1 ]
Kim, Beom Jin [1 ]
Choi, Chang Hwan [1 ]
Kim, Jae G. [1 ]
机构
[1] Chung Ang Univ, Coll Med, Dept Internal Med, Seoul 156755, South Korea
关键词
Second-look endoscopy; Forrest classification; Endoscopic submucosal dissection; Delayed bleeding; PEPTIC-ULCER; RISK-FACTORS;
D O I
10.3748/wjg.v21.i48.13518
中图分类号
R57 [消化系及腹部疾病];
学科分类号
100201 [内科学];
摘要
AIM: The clinical value of second-look endoscopy (SLE) after endoscopic submucosal dissection (ESD) has been doubted continuously. The aim of this study was to assess the effectiveness of SLE based on the risk of delayed bleeding after ESD. METHODS: A total of 310 lesions of gastric epithelial neoplasms treated by ESD were reviewed. The lesions were divided into two groups based on the risk of postprocedural bleeding estimated by Forrest classification. The high risk of rebleeding group (Forrest I a, I b and II a) required endoscopic treatment, while the low risk of rebleeding group (Forrest II b, III c and.) did not. Delayed bleeding after ESD was investigated. RESULTS: Sixty-six lesions were included in the high risk of rebleeding group and 244 lesions in the low risk of rebleeding group. There were no significant differences in delayed bleeding between the high risk group (1/66) and the low risk group (1/244) (P = 0.38). The high risk of rebleeding group tended to be located more often in the mid-third and had higher appearance of flat or depressed shape than the low risk group (P = 0.004 and P = 0.006, respectively). CONCLUSION: SLE with pre-emptive prophylactic endoscopic treatment is still effective in preventing delayed bleeding after ESD.
引用
收藏
页码:13518 / 13523
页数:6
相关论文
共 19 条
[1]
Effect of scheduled second therapeutic endoscopy on peptic ulcer rebleeding: a prospective randomised trial [J].
Chiu, PWY ;
Lam, CYW ;
Lee, SW ;
Kwong, KH ;
Lam, SH ;
Lee, DTY ;
Kwok, SPY .
GUT, 2003, 52 (10) :1403-1407
[2]
RISK FOR SERIOUS GASTROINTESTINAL COMPLICATIONS RELATED TO USE OF NONSTEROIDAL ANTIINFLAMMATORY DRUGS - A METAANALYSIS [J].
GABRIEL, SE ;
JAAKKIMAINEN, L ;
BOMBARDIER, C .
ANNALS OF INTERNAL MEDICINE, 1991, 115 (10) :787-796
[3]
A Multicenter Survey of the Management After Gastric Endoscopic Submucosal Dissection Related to Postoperative Bleeding [J].
Goto, Osamu ;
Fujishiro, Mitsuhiro ;
Oda, Ichiro ;
Kakushima, Naomi ;
Yamamoto, Yorimasa ;
Tsuji, Yosuke ;
Ohata, Ken ;
Fujiwara, Takashi ;
Fujiwara, Junko ;
Ishii, Naoki ;
Yokoi, Chizu ;
Miyamoto, Shinichi ;
Itoh, Toshiyuki ;
Morishita, Shinji ;
Gotoda, Takuji ;
Koike, Kazuhiko .
DIGESTIVE DISEASES AND SCIENCES, 2012, 57 (02) :435-439
[4]
A second-look endoscopy after endoscopic submucosal dissection for gastric epithelial neoplasm may be unnecessary: a retrospective analysis of postendoscopic submucosal dissection bleeding [J].
Goto, Osamu ;
Fujishiro, Mitsuhiro ;
Kodashima, Shinya ;
Ono, Satoshi ;
Niimi, Keiko ;
Hirano, Kousuke ;
Yamamichi, Nobutake ;
Koike, Kazuhiko .
GASTROINTESTINAL ENDOSCOPY, 2010, 71 (02) :241-248
[5]
EFFECT OF TREATMENT OF HELICOBACTER-PYLORI INFECTION ON THE LONG-TERM RECURRENCE OF GASTRIC OR DUODENAL-ULCER - A RANDOMIZED, CONTROLLED-STUDY [J].
GRAHAM, DY ;
LEW, GM ;
KLEIN, PD ;
EVANS, DG ;
EVANS, DJ ;
SAEED, ZA ;
MALATY, HM .
ANNALS OF INTERNAL MEDICINE, 1992, 116 (09) :705-708
[6]
Risk assessment and prediction of rebleeding in bleeding gastroduodenal ulcer [J].
Guglielmi, A ;
Ruzzenente, A ;
Sandri, M ;
Kind, R ;
Lombardo, F ;
Rodella, L ;
Catalano, F ;
de Manzoni, G ;
Cordiano, C .
ENDOSCOPY, 2002, 34 (10) :778-786
[7]
Endoscopic submucosal dissection for early gastric cancer: a large-scale feasibility study [J].
Isomoto, H. ;
Shikuwa, S. ;
Yamaguchi, N. ;
Fukuda, E. ;
Ikeda, K. ;
Nishiyama, H. ;
Ohnita, K. ;
Mizuta, Y. ;
Shiozawa, J. ;
Kohno, S. .
GUT, 2009, 58 (03) :331-336
[8]
Prediction of Cancer Incidence and Mortality in Korea, 2013 [J].
Jung, Kyu-Won ;
Won, Young-Joo ;
Kong, Hyun-Joo ;
Oh, Chang-Mo ;
Seo, Hong Gwan ;
Lee, Jin-Soo .
CANCER RESEARCH AND TREATMENT, 2013, 45 (01) :15-21
[9]
Comparison of Scoring Systems for the Prediction of Outcomes in Patients with Nonvariceal Upper Gastrointestinal Bleeding: A Prospective Study [J].
Kim, Beom Jin ;
Park, Moon Kyung ;
Kim, Sang-Jung ;
Kim, Eun Ran ;
Min, Byung-Hoon ;
Son, Hee Jung ;
Rhee, Poong-Lyul ;
Kim, Jae J. ;
Rhee, Jong Chul ;
Lee, Jun Haeng .
DIGESTIVE DISEASES AND SCIENCES, 2009, 54 (11) :2523-2529
[10]
Clinical Impact of Second-Look Endoscopy after Endoscopic Submucosal Dissection of Gastric Neoplasms [J].
Kim, Hyung Hun ;
Park, Seun Ja ;
Park, Moo In ;
Moon, Won .
GUT AND LIVER, 2012, 6 (03) :316-320