![](/images/graphics-bg.png)
Analysis of Delayed Bleeding after Endoscopic Submucosal Dissection for Gastric Epithelial Neoplasms
Joint Authors
Hirata, Ken
Mukai, Shinichi
Kotachi, Takahiro
Cho, Songde
Hamada, Toshihide
Nonaka, Michihiro
Nakanishi, Toshio
Shimizu, Akinori
Matuura, Genta
Source
Gastroenterology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-08
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Aim.
Delayed bleeding after endoscopic submucosal dissection (ESD) for gastric epithelial neoplasms is a major complication.
We investigated factors related to post-ESD bleeding to identify preventive measures.
Methods.
The study included 161 gastric epithelial neoplasms in 142 patients from June 2007 to September 2010.
Post-ESD bleeding was defined as an ulcer with active bleeding or apparent exposed vessels diagnosed by an emergency endoscopy or a planned follow-up endoscopy.
We analyzed associations between bleeding and the following factors: age, sex, morphology, pathology, tumor depth, ulcer presence/absence, location, size of the resected lesion, duration of the procedure, the number of times bleeding occurred during ESD, and the use of anticoagulants and/or antiplatelet drugs.
Subsequently, we examined characteristics of bleeding cases.
Results.
Post-ESD bleeding occurred in 21 lesions.
Univariate analysis of these cases showed that ulcer presence/absence (P<0.001), middle or lower third lesions (P=0.036), circumference (P=0.014), and a post-ESD ulcer with an extended lesser curve (P=0.009) were significant predictors of bleeding.
Multivariate analysis showed that ulcer presence/absence (OR 9.73, 95% CI 2.28–41.53) was the only significant predictor.
Conclusion.
Ulcer presence/absence was considered the most significant predictor of post-ESD bleeding.
American Psychological Association (APA)
Mukai, Shinichi& Cho, Songde& Kotachi, Takahiro& Shimizu, Akinori& Matuura, Genta& Nonaka, Michihiro…[et al.]. 2012. Analysis of Delayed Bleeding after Endoscopic Submucosal Dissection for Gastric Epithelial Neoplasms. Gastroenterology Research and Practice،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-505378
Modern Language Association (MLA)
Mukai, Shinichi…[et al.]. Analysis of Delayed Bleeding after Endoscopic Submucosal Dissection for Gastric Epithelial Neoplasms. Gastroenterology Research and Practice No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-505378
American Medical Association (AMA)
Mukai, Shinichi& Cho, Songde& Kotachi, Takahiro& Shimizu, Akinori& Matuura, Genta& Nonaka, Michihiro…[et al.]. Analysis of Delayed Bleeding after Endoscopic Submucosal Dissection for Gastric Epithelial Neoplasms. Gastroenterology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-505378
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-505378