Your browser doesn't support javascript.
loading
Feasibility of a modified search, coagulation, and clipping method with and without the use of polyglycolic acid sheets and fibrin glue for preventing delayed bleeding after gastric endoscopic submucosal dissection.
Abiko, Satoshi; Oda, Soichiro; Meno, Akimitsu; Shido, Akane; Yoshida, Sonoe; Yoshikawa, Ayumu; Harada, Kazuaki; Kawagishi, Naoki; Sano, Itsuki; Oda, Hisashi; Miyagishima, Takuto.
Afiliación
  • Abiko S; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan. abiko1982@gmail.com.
  • Oda S; Department of Gastroenterology and Hepatology, Hakodate Municipal Hospital, Hakodate, Japan. abiko1982@gmail.com.
  • Meno A; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Shido A; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Yoshida S; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Yoshikawa A; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Harada K; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Kawagishi N; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Sano I; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Oda H; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
  • Miyagishima T; Department of Gastroenterology, Kushiro Rosai Hospital, Kushiro, Japan.
BMC Gastroenterol ; 21(1): 63, 2021 Feb 11.
Article en En | MEDLINE | ID: mdl-33573607
BACKGROUND: Methods have been developed for preventing delayed bleeding (DB) after gastric endoscopic submucosal dissection (GESD). However, none of the methods can completely prevent DB. We hypothesized that DB could be prevented by a modified search, coagulation, and clipping (MSCC) method for patients at low risk for DB and by combining the use of polyglycolic acid sheets and fibrin glue with the MSCC method (PMSCC method) for patients at high risk for DB (antibleeding [ABI] strategy). This study assessed the technical feasibility of this novel strategy. METHOD: We investigated 123 lesions in 121 consecutive patients who underwent GESD in Kushiro Rosai Hospital between April 2018 and January 2020. The decision for continuation or cessation of antithrombotic agents was based on the Guidelines for Gastroenterological Endoscopy in Patients Undergoing Antithrombotic Treatment. RESULTS: Oral antithrombotic agents were administered to 28 patients (22.8%). The en bloc R0 resection rate was 98.4%. The MSCC method and the PMSCC method for preventing DB were performed in 114 and 9 lesions, respectively. The median time of the MSCC method was 16 min, and the median speed (the resection area divided by the time of method used) was 3.6 cm2/10 min. The median time of the PMSCC method was 59 min, and the median speed was 1.3 cm2/10 min. The only delayed procedural adverse event was DB in 1 (0.8%) of the 123 lesions. CONCLUSIONS: The ABI strategy is feasible for preventing DB both in patients at low risk and in those at high risk for DB after GESD, whereas the PMSCC method may be necessary for reduction of time.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Resección Endoscópica de la Mucosa Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: BMC Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Gástricas / Resección Endoscópica de la Mucosa Tipo de estudio: Guideline Límite: Humans Idioma: En Revista: BMC Gastroenterol Asunto de la revista: GASTROENTEROLOGIA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Reino Unido