Medical School of Southeast University, Nanjing, Jiangsu Province, China.
Department of Gastroenterology, Zhongda Hospital, Medical School of Southeast University, Nanjing, Jiangsu Province, China.
J Dig Dis. 2020 Mar;21(3):139-146. doi: 10.1111/1751-2980.12850.
Endoscopic submucosal dissection (ESD) is generally used to treat gastric mucosal and submucosal lesions. Nevertheless, ESD is more difficult and complicated to perform than a traditional endoscopic mucosal resection, which can increase the incidence of various complications including hemorrhage, perforation and infection. Hemorrhage is a major post-ESD complication. Prevention and early diagnosis of post-ESD bleeding for gastric lesions are closely associated with the efficacy and safety of the operation. Many studies have reported the risks of and the preventative measures for hemorrhage after gastric ESD, but there remain some issues to be solved. We thus reviewed the risk factors, precautions and treatments for hemorrhage after ESD of gastric lesions.
内镜黏膜下剥离术（ESD）一般用于治疗胃黏膜和黏膜下病变。然而，ESD 比传统的内镜黏膜切除术更困难和复杂，这会增加各种并发症的发生率，包括出血、穿孔和感染。出血是 ESD 后的主要并发症。胃病变 ESD 后出血的预防和早期诊断与手术的疗效和安全性密切相关。许多研究报道了胃 ESD 后出血的风险和预防措施，但仍有一些问题需要解决。因此，我们回顾了胃病变 ESD 后出血的危险因素、预防措施和治疗方法。
