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dc.contributor.author한동수-
dc.date.accessioned2019-11-22T06:46:06Z-
dc.date.available2019-11-22T06:46:06Z-
dc.date.issued2017-04-
dc.identifier.citationJOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY, v. 32, no. 4, page. 756-768en_US
dc.identifier.issn0815-9319-
dc.identifier.issn1440-1746-
dc.identifier.urihttps://onlinelibrary.wiley.com/doi/abs/10.1111/jgh.13623-
dc.identifier.urihttps://repository.hanyang.ac.kr/handle/20.500.11754/113607-
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], 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.en_US
dc.language.isoen_USen_US
dc.publisherWILEYen_US
dc.subjectendoscopic submucosal dissectionen_US
dc.subjectgastric neoplasmen_US
dc.subjecthemostasisen_US
dc.subjectprophylaxisen_US
dc.subjectsecond-look endoscopyen_US
dc.titleRole of second-look endoscopy and prophylactic hemostasis after gastric endoscopic submucosal dissection: A systematic review and meta-analysisen_US
dc.typeArticleen_US
dc.relation.no4-
dc.relation.volume32-
dc.identifier.doi10.1111/jgh.13623-
dc.relation.page756-768-
dc.relation.journalJOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY-
dc.contributor.googleauthorKim, Eun Hye-
dc.contributor.googleauthorPark, Se Woo-
dc.contributor.googleauthorNam, Eunwoo-
dc.contributor.googleauthorEun, Chang Soo-
dc.contributor.googleauthorHan, Dong Soo-
dc.contributor.googleauthorPark, Chan Hyuk-
dc.relation.code2017000783-
dc.sector.campusS-
dc.sector.daehakCOLLEGE OF MEDICINE[S]-
dc.sector.departmentDEPARTMENT OF MEDICINE-
dc.identifier.pidhands-
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COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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