Gastroenterologists often follow up second look endoscopy after endoscopic submucosal dissection(ESD) of gastric neoplasms because they want to prevent bleeding of procedure sites. But Goto suggested in his retrospective analysis that a second-look endoscopy after endoscopic submucosal dissection for gastric epithelial neoplasm may be unnecessary. So, the investigators try to identify the hypothesis prospectively in this study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
268
Second look endoscopy includes observation or prophylactic bleeding control of ESD site.
Kosin University Gospel Hospital
Busan, South Korea
RECRUITINGPost-ESD bleeding rate according to second look endoscopy
Time frame: Up to 60days
bleeding complication rate according to location of lesion in stomach.
Fundus, cardia, upper body, mid body, lower body, antrum anterior wall, posterior wall, great curvature, lesser curvature
Time frame: Up to 60days
Bleeding rate according to size of resected specimen
longest diameter of specimen: millimeter
Time frame: Up to 60days
Post ESD bleeding rate according to total procedure time of endoscopic submucosal dissection
Time frame: Up to 60days
Post ESD bleeding rate according to bleeding degree during endoscopic submucosal dissection
Mild: bleeding control time: \<1/3 of total ESD procedure time. Moderate: bleeding control time: 1/3\~1/2 of total ESD procedure time Severe: bleeding control time: \>1/2 of total ESD procedure time
Time frame: Up to 60days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.