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2020-05-29
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#內(nèi)鏡黏膜下剝離術#(ESD)是為了提高內(nèi)鏡黏膜切除術(EMR)切除大于2 cm病灶的能力,但與#EMR#相比需要額外的技術技巧、延長手術時間、增加出血和穿孔等不良事件的發(fā)生率。遲發(fā)性出血是#ESD#術后最常見的并發(fā)癥,發(fā)生率為4.1% ~ 11.8%。雖然預防性對人工潰瘍的基底血管進行#凝血#(ESD后凝血)和#質(zhì)子泵抑制劑#(PPI)是胃ESD術后常規(guī)使用的方法,以最大限度地減少延遲性出血的風險,但據(jù)報道,即使使用這些方法,出血率仍為3-5.5%。