Research progress of ulcer bleeding after endoscopic submucosal dissection

doi:10.3877/cma.j.issn.1674-3946.2024.04.031

Abstract

Abstract:

Endoscopic submucosal dissection (ESD) is the main treatment for early gastric cancer, and postoperative ulcer bleeding is one of the main complications. The accurate evaluation and early prevention of postoperative ulcer bleeding are directly related to the therapeutic effect of the operation, and there are many factors affecting postoperative ulcer bleeding, and the treatment methods for different types of ulcer bleeding are not the same. Based on this, this article reviews the factors influencing ulcer bleeding after ESD operation and its early prevention and treatment in detail.

Key words: Stomach Neoplasms, Endoscopic Submucosal Dissection, Ulcer, Hemorrhage, Root Cause Analysis

Hua Lan, Lisha Gao, Ming Shen, Mingguang Zhang. Research progress of ulcer bleeding after endoscopic submucosal dissection[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(04): 467-469.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhpwkssxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3946.2024.04.031

https://zhpwkssxzz.cma-cmc.com.cn/EN/Y2024/V18/I04/467

References 38

［1］	陈波，彭超，谭小辉，等. ESD治疗十二指肠非壶腹部侧向发育型肿瘤的安全性和有效性研究［J/CD］. 中华普外科手术学杂志（电子版），2022, 16（02）: 222-225.
［2］	Wang ZH，Zhou XR，Liu WH. Inner countertraction facilitating endoscopic submucosal dissection of a difficult early gastric cancer independent of transparent cap［J］. Endoscopy，2023, 55（S 01）: E490-E491.
［3］	Othman MO，Bahdi F，Ahmed Y，et al. Short-term clinical outcomes of non-curative endoscopic submucosal dissection for early esophageal adenocarcinoma［J］. Eur J Gastroenterol Hepatol，2021, 33（1S Suppl 1）: e700-e708.
［4］	王莉莉，郭慧敏，张昆鹏. 内镜黏膜切除术和内镜黏膜下剥离术对早期胃癌及癌前病变患者胃蛋白酶原和生活质量的影响［J］. 癌症进展，2023, 21（13）: 1424-1427.
［5］	李军，丁娟，马志杰. 早期胃癌患者ESD术后迟发性出血危险因素的Logistic回归方程构建及预测价值［J］. 实用癌症杂志，2023, 38（05）: 815-819.
［6］	宋顺喆，杨芳，宫爱霞，等. 早期胃癌ESD术后发生同时性与异时性胃癌的危险因素分析［J］. 中华肿瘤防治杂志，2022, 29（03）: 203-207, 212.
［7］	王建华，韩靓，于亭亭，等. 内镜剥离术治疗早期胃癌及高级别上皮内瘤变的远期转归分析［J/CD］. 中华普外科手术学杂志（电子版），2021, 15（06）: 661-664.
［8］	高蕊，张秋艳. 内镜下黏膜剥离术与内镜黏膜下切除术治疗早期胃癌的疗效比较［J］. 癌症进展，2022, 20（01）: 67-70.
［9］	Mavrogenis G，Ntourakis D，Kritikos N，et al. Salvage endoscopic wide-field full-thickness resection of T2 rectal cancer with endoscopic submucosal dissection instruments，without defect closure［J］. Endoscopy，2023, 55（S 01）: E751-E752.
［10］	王维，潘帆帆，聂伟杰. 内镜特征对早期胃癌患者内镜黏膜下层剥离术后溃疡发生风险的预测价值［J］. 中国中西医结合消化杂志，2022, 30（02）: 85-89.
［11］	周婉，陈晶，韩树堂，等. 乌芍散联合质子泵抑制剂治疗胃内镜黏膜下剥离术术后溃疡的临床研究［J］. 中国中西医结合消化杂志，2021, 29（08）: 540-544, 549.
［12］	崔海沫，姜葵，王磊，等. 艾普拉唑与雷贝拉唑治疗内镜黏膜下剥离术后人工溃疡愈合的效果对比［J］. 广东医学，2021, 42（01）: 71-75.
［13］	丁娟，曹名波，马志杰. 早期食管癌患者内镜下黏膜剥离术后延迟性出血的危险因素分析［J］. 实用癌症杂志，2022, 37（07）: 1144-1146.
［14］	乔雨晴，沈磊. 胃部病变内镜黏膜下剥离术后出血危险因素分析［J］. 临床消化病杂志，2022, 34（01）: 31-33.
［15］	程晶晶，张江春. 基于内镜征象的消化性溃疡出血后再出血预测模型的建立及临床价值［J］. 中国煤炭工业医学杂志，2022, 25（06）: 605-609.
［16］	郑林福，李达周，陈俊果，等. 内镜下黏膜剥离术治疗直径≥20 mm结直肠侧向发育肿瘤并发出血及穿孔的危险因素分析［J］. 临床内科杂志，2022, 39（05）: 329-331.
［17］	王鹏帅，唐进亮，张爱国，等. 内镜下黏膜剥离术治疗早期食管胃结合部腺癌和癌前病变的预后和危险因素分析［J］. 山西医药杂志，2022, 51（11）: 1272-1275.
［18］	Yang CH，Qiu Y，Li X，et al. Bleeding after endoscopic submucosal dissection of gastric lesions［J］. J Dig Dis，2020, 21（3）: 139-146.
［19］	彭好，沈磊. 十二指肠占位性病变内镜黏膜下剥离术后延迟出血的危险因素分析［J］. 中华消化内镜杂志，2021, 38（02）: 149-152.
［20］	郭锐，李湘杰，沈磊. 结直肠内镜黏膜下剥离术术后迟发性出血的危险因素分析［J］. 临床内科杂志，2021, 38（07）: 487-488.
［21］	张媛，林金灿，栗华. 内镜黏膜下剥离术治疗胃间质瘤的临床效果及术后出血的危险因素分析［J］. 中国内镜杂志，2021, 27（08）: 33-38.
［22］	杨梅，王晗，杨敏等. 内镜黏膜下剥离术治疗胃间质瘤的临床疗效及术后出血的危险因素分析［J］. 现代生物医学进展，2021, 21（10）: 1872-1877.
［23］	Tang YH，Ren LL，Yu YN，et al. Systemic immune-inflammation index in predicting non-curative resection of endoscopic submucosal dissection in patients with early gastric cancer［J］. Eur J Gastroenterol Hepatol，2023, 35（4）: 376-383.
［24］	Li JS，Fang J，Liu F. Prophylactic antibiotics for postendoscopic submucosal dissection coagulation syndrome Response［J］. Gastrointest Endosc，2022, 95（3）: 592-593.
［25］	李倩，班志超. ESD治疗食管早癌术后发生延迟性出血的Logistic回归分析［J］. 河北医药，2022, 44（13）: 1957-1961.
［26］	Tsuda K，Tanaka S，Yoshizaki T，et al. Long-Term Outcomes of Endoscopic Submucosal Dissection for Early Remnant Gastric Cancer: A Retrospective Multicenter Study［J］. Digestion，2023, 104（5）: 381-390.
［27］	原宁，宁萍. 微生态制剂联合奥美拉唑序贯治疗幽门螺杆菌阳性消化性溃疡效果及对患儿丙二醛，转化生长因子β1蛋白水平和肠道菌群的影响［J］. 陕西医学杂志，2021, 50（04）: 472-475.
［28］	Fukuhara M，Urabe Y，Oka S，et al. Outcomes of endoscopic submucosal dissection in patients who develop metachronous superficial esophageal squamous cell carcinoma close to a post-endoscopic submucosal dissection scar［J］. Esophagus，2023, 20（1）: 124-133.
［29］	Liu P，Liu H，Huang S，et al. Giant submucosal haematoma of the intestine complicated by endoscopic submucosal dissection［J］. ANZ J Surg，2023, 93（4）: 1108-1109.
［30］	Ikeda R，Hirasawa K，Sato C，et al. Incidence of metachronous gastric cancer after endoscopic submucosal dissection associated with eradication status of Helicobacter pylori［J］. Eur J Gastroenterol Hepatol，2021, 33（1）: 17-24.
［31］	Liu HR，Feng J，Li R. Endoscopic submucosal dissection for ultra‐low large rectal stromal tumor after preoperative imatinib therapy: A case report and review［J］. J Dig Dis，2022, 23（12）: 720-723.
［32］	Lightner AL，Vaidya P，Allende D，et al. Endoscopic Submucosal Dissection is Safe and Feasible Allowing for Ongoing Surveillance and organ preservation in Patients with Inflammatory Bowel Disease［J］. Colorectal Dis，2021, 23（8）: 2100-2107.
［33］	Chen WC，Yu HC，Tsay FW，et al. Rectal gastrointestinal stromal tumour removed by hybrid endoscopic submucosal dissection-a video vignette［J］. Colorectal Dis，2022, 24（1）: 146.
［34］	Tidehag V，Törnqvist B，Pekkari K，et al. Endoscopic submucosal dissection for removal of large colorectal neoplasias in an outpatient setting: a single-center series of 660 procedures in Sweden［J］. Gastrointest Endosc，2022, 96（1）: 101-107.
［35］	Jacques J，Legros R，Wallenhorst T，et al. Prediction of technically difficult，colorectal，endoscopic submucosal dissection: Is the procedural time a good endpoint?［J］. Gastrointest Endosc，2021, 93（6）: 1435-1436.
［36］	Ishida T，Dohi O，Yamada S，et al. Clinical Outcomes of Vonoprazan-Treated Patients after Endoscopic Submucosal Dissection for Gastric Neoplasms: A Prospectiwe Multicenter Obserwation Study［J］. Digestion，2021, 102（3）: 386-396.
［37］	Wen CY，Hsu CW. Step-by-step demonstration of tunnel creation endoscopic submucosal dissection for a lateral spreading anal canal circumferential tumour – a video vignette［J］. Colorectal Dis，2021, 23（4）: 1013-1014.
［38］	Fujimoto A，Saito Y，Abe S，et al. Clinical usefulness of red dichromatic imaging in hemostatic treatment during endoscopic submucosal dissection: First report from a multicenter，open‐label，randomized controlled trial［J］. Dig Endosc，2022, 34（2）: 379-390.

[1]	Wenjin Chen, Yuejun Zhang, Chuantai Wang. Study on the influencing factors of intestinal obstruction after laparoscopic radical gastrectomy for distal gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(04): 389-392.
[2]	Shunfu Ji, Xiaoyan Tang, Jin Xu. Application of expanding retrogastric space in obese patients during laparoscopic radical resection of proximal gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(04): 393-396.
[3]	Gang Zhai, Xiuming Deng, Chuan Cen, Feng Huang, Xianzhuang Huang, Yuncheng Wang. Clinical effect of modified double channel anastomosis in complete laparoscopic proximal gastrectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(04): 397-400.
[4]	Shuying Zhao, Dan Zhang. Progress and development trend of laparoscopic surgical treatment for gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(04): 459-462.
[5]	Lingxiao Pu, Junhao Zhu, Liang Tao, Feng Wang, Meng Wang, Wenxian Guan. PET/CT imaging features and lipid metabolism related mechanisms of low adhesion gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(03): 255-260.
[6]	Xiangliang Gong, Zheng Liu, Mei Ding. Near-and medium-term follow-up study of radical resection of gastric cancer based on membrane anatomy D2+CME [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(03): 267-270.
[7]	Jing Chen, Xiaoling Wang, Kang An. Related factors and treatment progress of postoperative peritoneal metastasis in elderly patients with advanced gastric cancer [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(02): 225-228.
[8]	Min Cai, Shaozhong Wei, Yijing Luo. Application of different anti-reflux digestive tract reconstruction techniques in patients with gastric cancer after proximal gastrectomy [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(02): 137-140.
[9]	Lin Zhang, Ting Li. Study on the expression of CRIP1 in gastric cancer and its relationship with clinicopathological index and prognosis [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(02): 171-175.
[10]	Han Liu, Yifan Zou, Tong Qiao. Comparative study of different endovascular prosthetics in the treatment of abdominal aortic aneurysm [J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2024, 18(02): 176-179.
[11]	Jun Zhou, Zhiming Zhao, Yunfeng Liu, Zhaowei Tang, Changhua Song, Jie Liu, Haoran Li, Shaoguang Wu. Efficacy analysis of neuroendoscopic hematoma evacuation and external ventricular drainage in the treatment of intraventricular hemorrhage [J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2024, 14(02): 86-92.
[12]	Xichao Dong, Linlin Wang, Zhihai Yuan, Wenwen Gao. Therapeutic effects of ultra-early microsurgery through the cerebral sulcus fissure vs the cerebral gyrus cortex approach for the treatment of basal ganglia hemorrhage [J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2024, 14(02): 100-105.
[13]	Lei Chen, Sujun Gao, Lu Wang, Xiufan Ni, xijing Shi, Zhen Zhu. Efficacy and safety of sequential therapy with glucocorticoids in preventing esophageal stricture after endoscopic submucosal dissection for circumferential superficial esophageal neoplasms [J]. Chinese Journal of Clinicians(Electronic Edition), 2024, 18(02): 159-165.
[14]	Xianyu Deng, Yuxuan Luo, Zhenle Zhang, Zhanpeng Yu, Liang Peng. Establishment and verification of a 30-day mortality risk forecast model in patients with severe spontaneous intracerebral hemorrhage [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2024, 18(02): 121-128.
[15]	Yongbin Wang, Yanxun Jia, Yiguang Yin. Effect of neuronavigation combined with 3D reconstruction technique guided neuroendoscopic hematoma removal on patients with hypertensive intracerebral hemorrhage [J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2024, 18(02): 153-156.

Please choose a citation manager

Content to export