Follow-up value of endoscopy for delayed postoperative bleeding after endoscopic submucosal dissec-tion
10.3760/cma.j.issn.1007-5232.2016.02.009
- VernacularTitle:胃部病变内镜黏膜下剥离术后迟发性出血的近期胃镜复查价值系统评价
- Author:
Yuanxi JIANG
;
Haipeng BIAN
;
Ying CHEN
;
Shuchang XU
- Publication Type:Journal Article
- Keywords:
Meta-analysis;
Endoscopic submucosal dissection;
Second-look endoscopy;
De-layed bleeding
- From:
Chinese Journal of Digestive Endoscopy
2016;33(2):101-105
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess whether a follow-up endoscopy after endoscopic submucosal dissec-tion(ESD)for gastric lesions is effective for prevention of delayed bleeding. Methods Papers published in Medline,Embase,Cochrane library,Elsevier,Wanfang,VIP and CNKI were searched for the studies eval-uating the efficacy of follow-up endoscopy for reducing delayed postoperative bleeding after ESD for gastric le-sions. Statistic analyses were performed using RevMan 5. 1 software. Results A total of 10 studies including 4 randomized control trials and 6 cohort studies were enrolled. Analysis of these studies showed that the inci-dence of delayed bleeding was not significantly different between the patients receiving a follow-up endoscopy and those not(OR= 1. 38,95% CI:0. 89-2. 13,P= 0. 15). Also,there was no difference in the incidence of delayed bleeding between the prophylactic hemostasis and nonprophylactic hemostasis groups( OR = 1. 45, 95% CI:0. 65-3. 22,P= 0. 36). Conclusion A follow-up endoscopy after gastric ESD may contribute little to the prevention of delayed bleeding,but may be useful for the high-risk patients,which can control the bleeding rate at a low level.
