지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 52 - 58 (7page)
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초록· 키워드
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Background/Aims: Second-look endoscopy is performed to check for the possibility of post-endoscopic submucosal dissection (ESD) bleeding and to perform prophylactic hemostasis in most hospitals; however, there is little evidence about the efficacy of second-look endoscopy. We investigated whether second-look endoscopy after ESD is useful in the prevention of post-ESD bleeding. Methods: A total of 550 lesions with gastric epithelial neoplasms in 502 patients (372 men and 130 women) were treated with ESD between August 18, 2009 and August 18, 2010. After the exclusion of three lesions of post-ESD bleeding within 24 hours, 547 lesions (335 early gastric cancers and 212 gastric adenomas) were included for the final analysis. Results: The occurrence rate of delayed post-ESD bleeding was not significantly different between the second-look group and the no second-look group (1% vs 2.5%, p>0.05). The only predictor of delayed bleeding was tumor size, regardless of second-look endoscopy after ESD (22.8±9.87 vs 15.1±10.47, p<0.05). There was no difference between the prophylactic hemostasis and nonprophylactic hemostasis groups, including the occurrence rate of delayed bleeding. In the second-look group with prophylactic hemostasis, the hospital stay was more prolonged than in the second-look group without prophylactic hemostasis, but there was no significant difference (p=0.08).
Conclusions: Second-look endoscopy to prevent delayed bleeding after ESD provides no significant medical benefits.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Chiu PW / 2003 / Effect of scheduled second therapeutic endoscopy on peptic ulcer rebleeding: a prospective randomised trial / Gut 52 : 1403 ~ 1407
Chung IK / 2009 / Therapeutic outcomes in 1000 cases of endoscopic submucosal dissection for early gastric neoplasms:Korean ESD Study Group multicenter study / Gastrointest E
Goto O / 2010 / A second-look endoscopy after endoscopic submucosal dissection for gastric epithelial neoplasm may be unnecessary: a retrospective analysis of postendoscopic
Heldwein W / 1989 / Is the Forrest classification a useful tool for planning endoscopic therapy of bleeding peptic ulcers? / Endoscopy 21 : 258 ~ 262
Lian J / 2012 / A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer / Gastrointest Endosc 76 : 763 ~ 770
Chung IK / 2009 / Therapeutic outcomes in 1000 cases of endoscopic submucosal dissection for early gastric neoplasms:Korean ESD Study Group multicenter study / Gastrointest E
Goto O / 2010 / A second-look endoscopy after endoscopic submucosal dissection for gastric epithelial neoplasm may be unnecessary: a retrospective analysis of postendoscopic
Heldwein W / 1989 / Is the Forrest classification a useful tool for planning endoscopic therapy of bleeding peptic ulcers? / Endoscopy 21 : 258 ~ 262
Lian J / 2012 / A meta-analysis of endoscopic submucosal dissection and EMR for early gastric cancer / Gastrointest Endosc 76 : 763 ~ 770
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