Risk factors of bleeding after endoscopic submucosal dissection for early gastric cancer

Risk factors of bleeding after ESD for EGC

Abstract

Endoscopic submucosal dissection (ESD) is usually used to resect the lesion at the mucosa and submucosa plane. However, compared with endoscopic mucosal resection (EMR), ESD is more difficult and complex, which will increase the incidence of various complications, including bleeding, perforation and infection. The most common adverse event of gastric ESD is bleeding. Prevention and early detection of bleeding after ESD play a great role in the effectiveness and safety of the operation. Many studies have reported the risk factors of bleeding after ESD for early gastric cancer, but there are still some problems worth discussing. Therefore, we reviewed the risk factors of bleeding after ESD for early gastric cancer, hoping to help endoscopists fully evaluate the risk of bleeding after ESD, and pay more attention to patients at high risk of bleeding.