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Role of second-look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta-analysis

DC FieldValueLanguage
dc.contributor.author김은혜-
dc.date.accessioned2018-07-20T11:59:29Z-
dc.date.available2018-07-20T11:59:29Z-
dc.date.issued2017-
dc.identifier.issn0815-9319-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161595-
dc.description.abstractBACKGROUND: 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], I2 = 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], I2 = 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.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherBlackwell Scientific Publications-
dc.relation.isPartOfJournal of Gastroenterology and Hepatology-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHDatabases, Bibliographic-
dc.subject.MESHEndoscopy, Gastrointestinal*-
dc.subject.MESHGastric Mucosa/surgery*-
dc.subject.MESHGastrointestinal Hemorrhage/prevention & control*-
dc.subject.MESHHemostasis, Endoscopic*-
dc.subject.MESHHumans-
dc.subject.MESHPostoperative Complications/prevention & control*-
dc.subject.MESHRandomized Controlled Trials as Topic-
dc.subject.MESHReoperation*-
dc.titleRole of second-look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta-analysis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Internal Medicine-
dc.contributor.googleauthorEun Hye Kim-
dc.contributor.googleauthorSe Woo Park-
dc.contributor.googleauthorEunwoo Nam-
dc.contributor.googleauthorChang Soo Eun-
dc.contributor.googleauthorDong Soo Han-
dc.contributor.googleauthorChan Hyuk Park-
dc.identifier.doi10.1111/jgh.13623-
dc.contributor.localIdA00827-
dc.relation.journalcodeJ01417-
dc.identifier.eissn1440-1746-
dc.identifier.pmid27796052-
dc.identifier.urlhttps://onlinelibrary.wiley.com/doi/abs/10.1111/jgh.13623-
dc.subject.keywordendoscopic submucosal dissection-
dc.subject.keywordgastric neoplasm-
dc.subject.keywordhemostasis-
dc.subject.keywordprophylaxis-
dc.subject.keywordsecond-look endoscopy-
dc.contributor.alternativeNameKim, Eun Hye-
dc.contributor.affiliatedAuthorKim, Eun Hye-
dc.citation.volume32-
dc.citation.number4-
dc.citation.startPage756-
dc.citation.endPage768-
dc.identifier.bibliographicCitationJournal of Gastroenterology and Hepatology, Vol.32(4) : 756-768, 2017-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers

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