Risk factors of delayed bleeding after endoscopic mucosal dissection in patients with early esophageal cancer

Author:

Ling Ying1,Wang Jun1,Xi Chunhui1,Liu Juan1

Affiliation:

1. Affiliate Hospital of North Sichuan Medical College

Abstract

Abstract

Objective Investigating the risk factors of delayed bleeding after endoscopic mucosal dissection (ESD) for early oesophagal cancer. Methods The early oesophagal cancer patients who received ESD treatment were analyzed, these subjects were divided into two categories according to whether they experienced delayed bleeding after surgery. The risk factors of delayed bleeding after ESD surgery in patients with early oesophagal cancer were identified by one-way ANOVA and multivariate Logistic regression analysis. According to whether they experienced delayed bleeding divided into two categories., we explored the risk reasons by analyzing the medical statistics of the patients through ANOVA and Logistic regression analysis. Results ESD was associated with delayed onset, lower rates of postoperative bleeding, cancer cell depth and tumour diameter greater than 3M. After Logistic regression analysis, we found that patients with early oesophagal cancer over 50 years old, heavy bleeding during surgery and a significant degree of cancer cell invasion (M3) are all independent risk factors (P<0.05 and OR≥1). Conclusions The primary risk sources of this condition are ≥50 years old, tumour size greater than 3m, blood loss during surgery, and the depth of cancer cell invasion (M3) are risk factors for patients with early oesophagal cancer after ESD surgery.

Publisher

Research Square Platform LLC

Reference34 articles.

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