Second-look endoscopy after endoscopic submucosal dissection for gastric neoplasms

Toshihiro Nishizawa, Hidekazu Suzuki, Satoshi Kinoshita, Osamu Goto, Takanori Kanai, Naohisa Yahagi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Routine second-look endoscopy after gastric endoscopic submucosal dissection (ESD) remains controversial. The aim of the present study was to systematically evaluate the efficacy of second-look endoscopy for gastric ESD. PubMed, the Cochrane library, and the Igaku-chuo-zasshi database were searched in order to identify randomized trials eligible for inclusion in the systematic review. Data were combined to calculate a pooled odds ratio (OR) for developing post-ESD bleeding. The database search yielded three randomized trials (854 patients). Compared with second-look endoscopy, the pooled OR for post-ESD bleeding without second-look endoscopy was 0.69 (95% confidence interval [CI]: 0.38-1.26, P = 0.228), without significant heterogeneity. There were no significant differences between second-look endoscopy and no second-look endoscopy with regard to large tumor size (>20 mm). This systematic review and meta-analysis showed that second-look endoscopy had no advantage for the prevention of post-ESD bleeding in patients without a high risk of bleeding.

Original languageEnglish
Pages (from-to)279-284
Number of pages6
JournalDigestive Endoscopy
Volume27
Issue number3
DOIs
Publication statusPublished - 2015 Mar 1

Fingerprint

Endoscopy
Stomach Neoplasms
Hemorrhage
Stomach
Odds Ratio
Databases
Endoscopic Mucosal Resection
PubMed
Libraries
Meta-Analysis
Confidence Intervals
Neoplasms

Keywords

  • bleeding
  • endoscopic submucosal dissection (ESD)
  • meta-analysis
  • second-look endoscopy
  • systematic review

ASJC Scopus subject areas

  • Gastroenterology
  • Radiology Nuclear Medicine and imaging

Cite this

Second-look endoscopy after endoscopic submucosal dissection for gastric neoplasms. / Nishizawa, Toshihiro; Suzuki, Hidekazu; Kinoshita, Satoshi; Goto, Osamu; Kanai, Takanori; Yahagi, Naohisa.

In: Digestive Endoscopy, Vol. 27, No. 3, 01.03.2015, p. 279-284.

Research output: Contribution to journalArticle

Nishizawa, Toshihiro ; Suzuki, Hidekazu ; Kinoshita, Satoshi ; Goto, Osamu ; Kanai, Takanori ; Yahagi, Naohisa. / Second-look endoscopy after endoscopic submucosal dissection for gastric neoplasms. In: Digestive Endoscopy. 2015 ; Vol. 27, No. 3. pp. 279-284.
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