Research progress in preventing delayed bleeding after gastric endoscopic submucosal dissection
10.3760/cma.j.cn101721-20230317-000099
- VernacularTitle:预防胃内镜黏膜下剥离术后迟发性出血的研究进展
- Author:
Yuhang LIU
1
;
Haiying ZHAO
;
Yongjun WANG
;
Ye ZONG
Author Information
1. 首都医科大学附属北京友谊医院消化内科 国家消化疾病临床医学研究中心 北京消化疾病中心，北京 100050
- Keywords:
Endoscopic submucosal dissection;
Prevent;
Delayed bleeding
- From:
Clinical Medicine of China
2023;39(3):191-195
- CountryChina
- Language:Chinese
-
Abstract:
Endoscopic submucosal dissection (ESD) is the common method for treatment of early gastric cancer. Compared with endoscopic mucosal resection (EMR), ESD can completely remove large lesions while ensuring negative margins as much as possible, which enables a more accurate pathological staging of tissue and reduces the risk of postoperative cancer recurrence. On the other hand, ESD generally results in larger ulcerations than EMR, which increases the likelihood of complications such as bleeding and perforation. Delayed bleeding is one of the main complications after gastric ESD. Delayed bleeding after ESD can cause hemorrhagic shock and even death, so we should take effective management strategies to prevent the occurrence of delayed bleeding after gastric ESD, such as the use of acid suppressive drugs, enough intraoperative hemostasis, lesion closure, and the use of lesion covering materials.
