Post-ESD endoscopy for prevention of delayed bleeding
10.3760/cma.j.issn.1007-5232.2012.05.003
- VernacularTitle:内镜黏膜下剥离术后短期内胃镜检查对防治迟发性出血的价值评价
- Author:
Yunshi ZHONG
;
Qiang SHI
;
Liqing YAO
;
Pinghong ZHOU
;
Meidong XU
;
Zhong REN
;
Tao CHEN
- Publication Type:Journal Article
- Keywords:
Endoscopic submucosal dissection;
Postoperative complications;
Postoperative hemorrhage
- From:
Chinese Journal of Digestive Endoscopy
2012;29(5):247-250
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo evaluate a second endoscopy for prevention of delayed bleeding after ESD.MethodsData of 67 patients with gastric epithelial neoplasms undergoing ESD from May to November 2011 were reviewed.The median age was 63 ( 31 ~ 84) years.All patients were followed up by endoscopy on the first and the third day after ESD.ResultsOf 67 lesions,5 were located at cardia,6 at gastric body,3 at fundus,35 at antrum,16 at gastric angle,and 2 at residual stomach.The mean maximum diameter of the lesions was 3.73±4 1.24 (2.0 ~ 7.0) cm.There were no intraoperative complications.Post-ESD delayed bleeding was detected by endoscopy in 6 (9.0% ) patients,with 5 on the third day and 1 on the fourth day.Forrest grading showed 2 cases of Ⅰ b,and 4 of Ⅱ b.All 6 cases were cured by endoscopy.The incidence of postoperative bleeding was far more than that evaluated based on the patients' clinical manifestations only.But therapeutic effect and saffety were the same according to the follow-up results.ConclusionIncidence of post-ESD bleeding is high,but there are no symptoms or severe consequences,so a second endoscopy after gastric ESD may contribute little to the prevention of delayed bleeding.