Optimal Duration of Proton Pump Inhibitor for Healing Artificial Ulcers After Endoscopic Submucosal Dissection for Early Gastric Cancer

Gotoda, Takuji

doi:10.1007/s10620-011-2018-y

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Precautions Against Bleeding After Gastric Esd1

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“…Patients without the risk of delayed ulcer healing should take the drug for 2 weeks. However, if a patient has a high possibility of postoperative hemorrhage due to longer operation time, excision of larger lesions or lesions in the lower third of the stomach, PPIs should be taken for 8 weeks …”

Section: Precautions Against Bleeding After Gastric Esdmentioning

confidence: 99%

Bleeding after endoscopic submucosal dissection of gastric lesions

Yang

Qiu

et al. 2020

J of Digest Diseases

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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.

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Section: Precautions Against Bleeding After Gastric Esdmentioning

confidence: 99%