Most Read Articles
01 Nov 2014
Current management of liver abscess is by intravenous antibiotics and percutaneous treatment. The efficacy of this management was assessed in this study.
05 Aug 2014
Clinical and laboratory data of acute kidney injury in patients with liver abscess were analyzed in this review.
08 Oct 2014
Anal fissure is an ulceration of the anoderm in the anal canal. Treatments usually do not target these causative factors. Recently, this review has been published giving an update on the management of anal fissure.
15 Feb 2012
This intervention review assessed the efficacy and morbidity of various anal fissure medical therapies in place for surgery.

Endoscopic bleeding control improves prognosis of advanced gastric cancer patients

22 Jul 2017

Successful endoscopic bleeding control can help improve survival in bleeding gastric cancer patients, suggests a recent study.

Researchers retrospectively reviewed medical records of 64 patients who underwent endoscopic therapy for gastric cancer bleeding (bleeding group) at Asan Medical Center from January 2012 to December 2014 to determine whether successful bleeding control improves prognosis.

Each patient was matched 1:2 by age, sex and American Joint Committee on Cancer staging with 128 randomly selected patients treated for stomach cancer during the same period (control group). Researchers investigated the rebleeding rate, bleeding treatment methods, median survival and successful bleeding control.

The patients’ median age was 58.5 years, and the male-to-female ratio was 4:3:1. The initial haemostasis rate was 73.4 percent. Single method was used to treat most patients (n=37; 57.8 percent). The most frequently used treatment was the coagrasper (32/95 cases; 33.7 percent).

Seventeen (36.2 percent) of the 47 patients in which successful bleeding control was achieved experienced rebleeding after 3 days. Patients in the control group had longer median survival than those in the bleeding group (18.5 vs 6.5 months).

Furthermore, median survival was also longer in the successful bleeding control than in the failed bleeding control group (8.5 vs 1.8 months). However, patients in the successful bleeding control group had lower survival than those in the control group (18.5 vs 8.5 months).

Based on multivariate analysis, the risk of bleeding was lower in Borrmann type II, IV cancer but was higher in patients using antiplatelet or anticoagulant.

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Most Read Articles
01 Nov 2014
Current management of liver abscess is by intravenous antibiotics and percutaneous treatment. The efficacy of this management was assessed in this study.
05 Aug 2014
Clinical and laboratory data of acute kidney injury in patients with liver abscess were analyzed in this review.
08 Oct 2014
Anal fissure is an ulceration of the anoderm in the anal canal. Treatments usually do not target these causative factors. Recently, this review has been published giving an update on the management of anal fissure.
15 Feb 2012
This intervention review assessed the efficacy and morbidity of various anal fissure medical therapies in place for surgery.