مورد إلكتروني
Fever and electrocoagulation syndrome after colorectal endoscopic submucosal dissection for patients with immunosuppressants and steroids
| العنوان: | Fever and electrocoagulation syndrome after colorectal endoscopic submucosal dissection for patients with immunosuppressants and steroids |
|---|---|
| المؤلفون: | Yamamoto, Shumpei, Kinugasa, Hideaki, Yamasaki, Yasushi, Hirai, Mami, Ako, Soichiro, Takei, Kensuke, Igawa, Shoko, Yasutomi, Eriko, Oka, Shohei, Ohmori, Masayasu, Inokuchi, Toshihiro, Harada, Keita, Hiraoka, Sakiko, Nouso, Kazuhiro, Tanaka, Takehiro, Okada, Hiroyuki |
| بيانات النشر: | Wiley 2021-12-09 |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | Objectives: Transient fever and electrocoagulation syndrome after colorectal endoscopic submucosal dissection (ESD) remain a challenge. The aim of this study was to assess the risk factors of post-ESD fever and post-ESD coagulation syndrome (PECS), focusing on the involvement of immunosuppressive drugs and steroids (IM). Methods: This retrospective analysis included 510 patients who underwent colorectal ESD at Okayama University Hospital from 2015 to 2020. The incidence rate, clinical outcome, and factors associated with post-ESD fever and PECS were investigated. Results: Post-ESD fever and PECS occurred in 63 patients (12.4%) and 43 patients (8.4%), respectively. In multivariate analysis, the American Society of Anesthesiologists Physical Status ≥3, the use of immunosuppressants or prednisolone ≥5mg (IM group), and injury to muscle layer/perforation were significantly associated with post-ESD fever. In PECS, IM group, tumors located on the right side, treatment time ≥60 min, injury to the muscle layer, and multiple lesions were independent risk factors. Both post-ESD fever and PECS improved conservatively in the IM group, and no serious complication was observed. Conclusions: The use of IM was a risk factor for both post-ESD fever and PECS. However, there were no serious complications in colorectal ESD for patients taking IM. |
| مصطلحات الفهرس: | colorectal ESD, PECS, electrocoagulation syndrome, immunosuppressants and steroids, post-ESD fever, Journal Article, VoR |
| URL: | 35310725 |
| الإتاحة: | Open access content. Open access content © 2021 The Authors. |
| ملاحظة: | English |
| أرقام أخرى: | JPNII oai:irdb.nii.ac.jp:01081:0005900123 2692-4609 DEN Open, 2(1), e83- 1409766781 |
| المصدر المساهم: | NATIONAL INST OF INFO From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.on1409766781 |
| قاعدة البيانات: | OAIster |
| الوصف غير متاح. |