A second-look endoscopy after endoscopic submucosal dissection for gastric epithelial neoplasm may be unnecessary: a retrospective analysis of postendoscopic submucosal dissection bleeding

Gastrointestinal Endoscopy
Osamu GotoKazuhiko Koike

Abstract

Endoscopic submucosal dissection (ESD) is one of the curative endoluminal surgical procedures for gastric epithelial neoplasms. There has been little research on bleeding after gastric ESD. To investigate cases of post-ESD bleeding and to verify whether a second-look endoscopy after ESD is effective in the prevention of delayed bleeding. A retrospective study with consecutive data. A single tertiary referral center. A total of 454 gastric epithelial neoplasms (386 early gastric cancers and 68 gastric adenomas). ESD and second-look endoscopy. Predictors on post-ESD bleeding by univariate analysis, incidence of post-ESD bleedings, and the timing of those before and after second-look endoscopy. Post-ESD bleeding occurred in 26 (5.7%) lesions. Gross type (flat or depressed type) was the only factor influencing post-ESD bleeding. All cases of post-ESD bleeding occurred within 14 days after ESD (median 2; range 0-14), and bleeding tended to occur from the lower and upper stomach earlier and later, respectively. In 19 lesions with delayed bleeding more than 24 hours after ESD, the maximum delayed bleeding rates before and after the second-look endoscopy were 2.8% and 2.5%, respectively. A retrospective, single-center analysis. A secon...Continue Reading

References

May 2, 2002·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Takuji GotodaYo Kato
Jul 14, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Tsuneo OyamaYoshinori Miyata
May 25, 2006·Journal of Clinical Gastroenterology·Shinya KodashimaMasao Omata
Dec 5, 2006·Gastrointestinal Endoscopy·Shiro OkaKazuaki Chayama
Dec 23, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Mitsuhiro FujishiroMasao Omata

❮ Previous
Next ❯

Citations

Mar 12, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Osamu GotoKazuhiko Koike
Jul 26, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Yoji SanomuraKazuaki Chayama
Sep 29, 2011·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Makoto HigashiyamaKazuaki Chayama
Feb 22, 2012·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Keiko NiimiKazuhiko Koike
Feb 2, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Mitsuhiro FujishiroHsui-Po Wang
Feb 2, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Ichiro OdaShigetaka Yoshinaga
Apr 27, 2012·Gastroenterology Research and Practice·Shinichi MukaiToshio Nakanishi
Oct 22, 2013·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Yoji SanomuraKazuaki Chayama
Mar 20, 2012·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Ching-Tai LeeJaw-Town Lin
Aug 4, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hiroyuki OnoToshiyuki Matsui
Nov 27, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Toshihiro NishizawaNaohisa Yahagi
Dec 5, 2012·Gastrointestinal Endoscopy·Makoto HigashimayaKazuaki Chayama
Feb 8, 2011·Gastrointestinal Endoscopy·Mitsunobu MatsushitaKazuichi Okazaki
Oct 24, 2012·Diagnostic and Therapeutic Endoscopy·Dong Wook Lee, Seong Woo Jeon
Nov 13, 2013·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Kazuma FujimotoToshiyuki Matsui
Jul 16, 2014·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Jérémie JacquesDenis Sautereau
Aug 21, 2015·Digestive Diseases and Sciences·Payal Saxena
Jun 20, 2015·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Shoko OnoNaoya Sakamoto
Feb 24, 2016·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Mitsuhiro FujishiroKazuma Fujimoto
Jun 28, 2016·Gastrointestinal Endoscopy·Diogo LibânioMário Dinis-Ribeiro
Jan 24, 2012·World Journal of Gastrointestinal Endoscopy·Yosuke MurakiMasao Ichinose
Jul 3, 2013·Journal of Gastroenterology and Hepatology·Norifumi NumataKazuaki Chayama
Oct 22, 2013·Clinical Endoscopy·Chan Hyuk Park, Sang Kil Lee

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cancer Incidence & Mortality

Cancer has emerged as a global concern due to its increase in incidence and mortality. Efforts are underway to evaluate and develop action plans to reduce the global burden of cancer. Currently, lung cancer, breast cancer and prostate cancer are the leading causes of cancer mortality. Here is the latest research on cancer incidence and mortality.

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.