Clinicopathological characteristics of patients with pain after endoscopic submucosal dissection for gastric epithelial neoplasm
| Autor: | Young Woon Chang, Jae-Jun Shim, Jung-Wook Kim, Jae Young Jang, Yoo Min Park |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adenoma
Adult Male medicine.medical_specialty Endoscopic Mucosal Resection Visual analogue scale Epigastric pain Lesion Adenomatous Polyps 03 medical and health sciences 0302 clinical medicine Risk Factors Stomach Neoplasms Internal medicine medicine Humans Registries Aged Pain Measurement Retrospective Studies Aged 80 and over Analgesics Pain Postoperative business.industry Incidence Stomach Incidence (epidemiology) Carcinoma Middle Aged Hepatology Surgery Treatment Outcome medicine.anatomical_structure Gastric Mucosa 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology medicine.symptom Complication business Abdominal surgery |
| Zdroj: | Surgical Endoscopy. 33:794-801 |
| ISSN: | 1432-2218 0930-2794 |
| Popis: | Endoscopic submucosal dissection (ESD) is widely used for large superficial gastrointestinal tumors. Epigastric pain is a frequent complication of ESD. However, little is known about its incidence and associated factors. This study evaluated pain incidence and characteristics of patients with pain after gastric ESD. We retrospectively analyzed a prospectively collected registry of clinical, endoscopic, and pathologic results of patients who underwent ESD for gastric adenoma or cancer from January 2010 to December 2015. A Visual Analogue Scale (VAS) was used to assess pain immediately after, and 2, 12, and 24 h after ESD. The primary outcome was the use of painkillers (VAS score > 4). Analyzed data included age, sex, pathology, specimen and tumor size, procedure time, and tumor location. Of 1226 patients, 461 (36.4%) needed a painkiller at least once after ESD (pain group). Compared with the no pain group, the pain group had more females, less alcohol consumption, larger tumor and specimen size, and more antral lesions. In multivariate analysis, female sex (OR 1.559, 95% CI 1.217–1.996, p |
| Databáze: | OpenAIRE |
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