Usefulness of the Forrest Classification to Predict Artificial Ulcer Rebleeding during Second-Look Endoscopy after Endoscopic Submucosal Dissection
DC Field | Value | Language |
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dc.contributor.author | Kim, Duk Su | - |
dc.contributor.author | Jung, Yunho | - |
dc.contributor.author | Rhee, Ho Sung | - |
dc.contributor.author | Lee, Su Jin | - |
dc.contributor.author | Jo, Yeong Geol | - |
dc.contributor.author | Kim, Jong Hwa | - |
dc.contributor.author | Park, Jae Man | - |
dc.contributor.author | Chung, Il-Kwun | - |
dc.contributor.author | Cho, Young Sin | - |
dc.contributor.author | Lee, Tae Hoon | - |
dc.contributor.author | Park, Sang-Heum | - |
dc.contributor.author | Kim, Sun-Joo | - |
dc.date.accessioned | 2021-08-11T17:44:59Z | - |
dc.date.available | 2021-08-11T17:44:59Z | - |
dc.date.issued | 2016-05 | - |
dc.identifier.issn | 2234-2400 | - |
dc.identifier.issn | 2234-2443 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/9185 | - |
dc.description.abstract | Background/Aims: Delayed post-endoscopic submucosal dissection (ESD) bleeding (DPEB) is difficult to predict and there is controversy regarding the usefulness of prophylactic hemostasis during second-look endoscopy. This study evaluated the risk factors related to DPEB, the relationship between clinical outcomes and the Forrest classification, and the results of prophylactic hemostasis during second-look endoscopy. Methods: Second-look endoscopy was performed on the day after ESD to check for recent hemorrhage or potential bleeding and the presence of artificial ulcers in all patients. Results: DPEB occurred in 42 of 581 patients (7.2%). Multivariate analysis determined that a specimen size >= 40 mm (odds ratio [OR], 3.03; p=0.003), and a high-risk Forrest classification (Forrest Ib+IIa+IIb; OR, 6.88; p<0.001) were risk factors for DPEB. DPEB was significantly more likely in patients classified with Forrest Ib (OR, 24.35; p<0.001), IIa (OR, 12.91; p<0.001), or IIb (OR, 8.31; p<0.001) ulcers compared with Forrest III ulcers. There was no statistically significant difference between the prophylactic hemostasis and nonhemostasis groups (Forrest Ib, p=0.938; IIa, p=0.438 ;IIb, p=0.397; IIc, p=0.773) during second-look endoscopy. Conclusions: The Forrest classification of artificial gastric ulcers during second-look endoscopy seems to be a useful tool for predicting delayed bleeding. However, routine prophylactic hemostasis during second-look endoscopy seemed to not be useful for preventing DPEB. | - |
dc.format.extent | 9 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | 대한소화기내시경학회 | - |
dc.title | Usefulness of the Forrest Classification to Predict Artificial Ulcer Rebleeding during Second-Look Endoscopy after Endoscopic Submucosal Dissection | - |
dc.type | Article | - |
dc.publisher.location | 대한민국 | - |
dc.identifier.doi | 10.5946/ce.2015.086 | - |
dc.identifier.scopusid | 2-s2.0-84971425279 | - |
dc.identifier.wosid | 000407280600013 | - |
dc.identifier.bibliographicCitation | Clinical Endoscopy, v.49, no.3, pp 273 - 281 | - |
dc.citation.title | Clinical Endoscopy | - |
dc.citation.volume | 49 | - |
dc.citation.number | 3 | - |
dc.citation.startPage | 273 | - |
dc.citation.endPage | 281 | - |
dc.type.docType | Article | - |
dc.identifier.kciid | ART002109899 | - |
dc.description.isOpenAccess | N | - |
dc.description.journalRegisteredClass | scopus | - |
dc.description.journalRegisteredClass | kci | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | EARLY GASTRIC-CANCER | - |
dc.subject.keywordPlus | PROSPECTIVE RANDOMIZED-TRIAL | - |
dc.subject.keywordPlus | PEPTIC-ULCER | - |
dc.subject.keywordPlus | RISK-FACTORS | - |
dc.subject.keywordPlus | CLINICAL-OUTCOMES | - |
dc.subject.keywordPlus | HEMOSTASIS | - |
dc.subject.keywordPlus | NEOPLASMS | - |
dc.subject.keywordAuthor | Stomach neoplasms | - |
dc.subject.keywordAuthor | Hemorrhage | - |
dc.subject.keywordAuthor | Hemostasis | - |
dc.subject.keywordAuthor | endoscopic | - |
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