Risk Factors for Additional Surgery after Iatrogenic Perforations due to Endoscopic Submucosal Dissection
Joint Authors
Park, Sung Min
Kim, Gi Jun
Ji, Jeong Seon
Choi, Hwang
Kim, Joon Sung
Kim, Byung-Wook
Source
Gastroenterology Research and Practice
Issue
Vol. 2017, Issue 2017 (31 Dec. 2017), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2017-02-20
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Objectives.
Endoscopic resection (ER) is commonly performed to treat gastric epithelial neoplasms and subepithelial tumors.
The aim of this study was to predict the risk factors for surgery after ER-induced perforation.
Methods.
We retrospectively reviewed the data on patients who received gastric endoscopic submucosal dissection (ESD) or endoscopic mucosal resection (EMR) between January 2010 and March 2015.
Patients who were confirmed to have perforation were classified into surgery and nonsurgery groups.
We aimed to determine the risk factors for surgery in patients who developed iatrogenic gastric perforations.
Results.
A total of 1183 patients underwent ER.
Perforation occurred in 69 (5.8%) patients, and 9 patients (0.8%) required surgery to manage the perforation.
In univariate analysis, anterior location of the lesion, a subepithelial lesion, two or more postprocedure pain killers within 24 hrs, and increased heart rate within 24 hrs after the procedure were the factors related to surgery.
In logistic regression analysis, the location of the lesion at the anterior wall and using two or more postprocedure pain killers within 24 hrs were risk factors for surgery.
Conclusion.
Most cases of perforations after ER can be managed conservatively.
When a patient requires two or more postprocedure pain killers within 24 hrs and the lesion is located on the anterior wall, early surgery should be considered instead of conservative management.
American Psychological Association (APA)
Kim, Gi Jun& Park, Sung Min& Kim, Joon Sung& Ji, Jeong Seon& Kim, Byung-Wook& Choi, Hwang. 2017. Risk Factors for Additional Surgery after Iatrogenic Perforations due to Endoscopic Submucosal Dissection. Gastroenterology Research and Practice،Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156520
Modern Language Association (MLA)
Kim, Gi Jun…[et al.]. Risk Factors for Additional Surgery after Iatrogenic Perforations due to Endoscopic Submucosal Dissection. Gastroenterology Research and Practice No. 2017 (2017), pp.1-8.
https://search.emarefa.net/detail/BIM-1156520
American Medical Association (AMA)
Kim, Gi Jun& Park, Sung Min& Kim, Joon Sung& Ji, Jeong Seon& Kim, Byung-Wook& Choi, Hwang. Risk Factors for Additional Surgery after Iatrogenic Perforations due to Endoscopic Submucosal Dissection. Gastroenterology Research and Practice. 2017. Vol. 2017, no. 2017, pp.1-8.
https://search.emarefa.net/detail/BIM-1156520
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1156520