Role of second-look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta-analysis
DC Field | Value | Language |
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dc.contributor.author | Kim, Eun Hye | - |
dc.contributor.author | Park, Se Woo | - |
dc.contributor.author | Nam, Eunwoo | - |
dc.contributor.author | Eun, Chang Soo | - |
dc.contributor.author | Han, Dong Soo | - |
dc.contributor.author | Park, Chan Hyuk | - |
dc.date.accessioned | 2021-07-30T05:19:45Z | - |
dc.date.available | 2021-07-30T05:19:45Z | - |
dc.date.created | 2021-05-11 | - |
dc.date.issued | 2017-04 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/4257 | - |
dc.description.abstract | Background: Although several studies have shown that second-look endoscopy does not affect the incidence of bleeding after gastric endoscopic submucosal dissection (ESD), the potential roles of second-look endoscopy have not been fully evaluated. This study aimed to determine the role of second-look endoscopy after ESD through a systematic review and meta-analysis. Methods: This study conducted a systematic literature search of MEDLINE, EMBASE, and the Cochrane Library through March 2016 using the keywords "second-look," " prophylactic hemostasis," " prophylactic haemostasis," " prevention," " prophylaxis," and " endoscopic submucosal dissection." Studies were included if they evaluated the incidence of post-ESD bleeding according to second-look endoscopy or prophylactic hemostasis during second-look endoscopy. Results: Four randomized controlled trials on post-ESD bleeding between second-look endoscopy and no second-look endoscopy and 12 non-randomized studies with a cohort design on post-ESD bleeding were included. On meta-analysis, second-look endoscopy did not affect delayed post-ESD bleeding (odds ratio [95% confidence interval] = 1.27 [0.80-2.00], I-2 = 0%). During second-look endoscopy, patients who were considered as high-risk for post-ESD bleeding underwent prophylactic hemostasis. Delayed post-ESD bleeding was more common in patients who were treated with hemostasis during second-look endoscopy compared with those who were not (odds ratio [ 95% confidence interval] = 3.40 [1.87-6.18], I-2 = 62%). In patients who underwent prophylactic hemostasis, the number needed to prolong a hospitalization period to avoid one additional post-ESD bleeding after discharge was 25. Conclusion: Second-look endoscopy after ESD could not reduce the risk of delayed post-ESD bleeding. Delayed post-ESD bleeding was more common in patients who underwent prophylactic hemostasis than in those who did not. | - |
dc.language | 영어 | - |
dc.language.iso | en | - |
dc.publisher | WILEY | - |
dc.title | Role of second-look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta-analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Eun, Chang Soo | - |
dc.contributor.affiliatedAuthor | Han, Dong Soo | - |
dc.contributor.affiliatedAuthor | Park, Chan Hyuk | - |
dc.identifier.doi | 10.1111/jgh.13623 | - |
dc.identifier.scopusid | 2-s2.0-85016100601 | - |
dc.identifier.wosid | 000398534100008 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, v.32, no.4, pp.756 - 768 | - |
dc.relation.isPartOf | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.citation.title | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.citation.volume | 32 | - |
dc.citation.number | 4 | - |
dc.citation.startPage | 756 | - |
dc.citation.endPage | 768 | - |
dc.type.rims | ART | - |
dc.type.docType | Review | - |
dc.description.journalClass | 1 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | FORREST CLASSIFICATION | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | NEOPLASMS | - |
dc.subject.keywordPlus | CANCER | - |
dc.subject.keywordPlus | IMPACT | - |
dc.subject.keywordPlus | TRIAL | - |
dc.subject.keywordAuthor | endoscopic submucosal dissection | - |
dc.subject.keywordAuthor | gastric neoplasm | - |
dc.subject.keywordAuthor | hemostasis | - |
dc.subject.keywordAuthor | prophylaxis | - |
dc.subject.keywordAuthor | second-look endoscopy | - |
dc.identifier.url | https://onlinelibrary.wiley.com/doi/10.1111/jgh.13623 | - |
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