Digestive Disease Hospital, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Department of Gastroenterology, First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Expert Rev Gastroenterol Hepatol. 2022 Nov-Dec;16(11-12):1079-1087. doi: 10.1080/17474124.2022.2156858. Epub 2022 Dec 17.
Post-endoscopic submucosal dissection electrocoagulation syndrome (PEECS) is a rare complication following endoscopic submucosal dissection (ESD). However, many aspects of PEECS are still controversial and there is a lack of up-to-date review. The aim of this article is to provide a comprehensive review on PEECS.
The English-language literature was searched for articles on PEECS, with a focus on its pathogenesis, definition, and diagnosis, incidence rate, risk factors, prevention, management, and prognosis.
Many aspects of PEECS are still controversial such as etiology, diagnostic criteria, prevention and management. The recent studies tend to agree on the diagnostic criteria for PEECS, defined as localized abdominal tenderness and fever or inflammatory response without delayed perforation. Most patients with PEECS have a favorable prognosis with conservative treatment and more high-quality studies are needed in the controversial aspects mentioned above.
内镜黏膜下剥离术后电凝综合征（PEECS）是内镜黏膜下剥离术（ESD）后的一种罕见并发症。然而，PEECS 的许多方面仍存在争议，且缺乏最新的综述。本文旨在对 PEECS 进行全面的综述。
本文对 PEECS 的英文文献进行了检索，重点关注其发病机制、定义和诊断、发生率、危险因素、预防、管理和预后。
PEECS 的许多方面仍存在争议，例如病因、诊断标准、预防和管理。最近的研究倾向于认同 PEECS 的诊断标准，即定义为局限性腹痛和发热或炎症反应而无延迟穿孔。大多数 PEECS 患者经保守治疗后预后良好，上述有争议的方面需要更多高质量的研究。
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