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Original Article
Bleeding after Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis: A Multicenter Propensity Score-Matched Analysis
In Kyung Yoo, Chan Gyoo Kim, Young Ju Suh, Younkyung Oh, Gwang Ho Baik, Sun Moon Kim, Young Dae Kim, Chul-Hyun Lim, Jung Won Jeon, Su Jin Hong, Byoung Wook Bang, Joon Sung Kim, Jun-Won Chung
Clin Endosc 2020;53(4):452-457.   Published online October 25, 2019
DOI: https://doi.org/10.5946/ce.2019.107
AbstractAbstract PDFPubReaderePub
Background
/Aims: Frequent bleeding after endoscopic resection (ER) has been reported in patients with end-stage renal disease (ESRD). We aimed to evaluate the association and clinical significance of bleeding with ER in ESRD patients on dialysis.
Methods
Between February 2008 and December 2018, 7,571 patients, including 47 ESRD patients on dialysis who underwent ER for gastric neoplasia, were enrolled. A total of 47 ESRDpatients on dialysis were propensity score-matched 1:10 to 470 non-ESRD patients, to adjust for between-group differences in variables such as age, sex, comorbidities, anticoagulation use, tumor characteristics, and ER method. Matching was performed using an optimal matching algorithm. For the matched data, clustered comparisons were performed using the generalized estimating equation method. Medical records were retrospectively reviewed. Frequency and outcomes of post-ER bleeding were evaluated.
Results
Bleeding was more frequent in the ESRD with dialysis group than in the non-ESRD group. ESRD with dialysis conferred a significant risk of post-ER bleeding (odds ratio, 6.1; 95% confidence interval, 2.7–13.6; p<0.0001). All post-ER bleeding events were controlled using endoscopic hemostasis except in 1 non-ESRD case that needed surgery.
Conclusions
ESRD with dialysis confers a bleeding risk after ER. However, all bleeding events could be managed endoscopically without sequelae. Concern about bleeding should not stop endoscopists from performing ER in ESRD patients on dialysis.

Citations

Citations to this article as recorded by  
  • Chronic Kidney Disease Increases Risk of Delayed Post‐Polypectomy Bleeding: A Large‐Scale Propensity Score‐Matched Analysis
    Hye Kyung Hyun, Nak‐Hoon Son, So Hyeon Gwon, Hyun Chul Lim, Jihye Park, Soo Jung Park, Jae Jun Park, Jae Hee Cheon, Tae Il Kim, Tae‐Hyun Yoo, Shin‐Wook Kang, Hae‐Ryong Yun, Cheal Wung Huh
    United European Gastroenterology Journal.2025;[Epub]     CrossRef
  • Prediction and prevention of post-procedural bleedings in patients with cirrhosis
    Alix Riescher-Tuczkiewicz, Pierre-Emmanuel Rautou
    Clinical and Molecular Hepatology.2025; 31(Suppl): S205.     CrossRef
  • Risk of Post-polypectomy Bleeding After Colorectal Endoscopic Mucosal Resection in Patients with Chronic Kidney Disease: A Propensity-Matched Analysis of the US Collaborative Network
    Azizullah Beran, Khaled Elfert, Feenalie N. Patel, Mouhand Mohamed, Daryl Ramai, Almaza Albakri, Nasir Saleem, Faisal Kamal, Andrew Canakis, Khaled Srour, Danial H. Shaikh, Shyam Thakkar, Douglas K. Rex, Indira Bhavsar-Burke, John J. Guardiola
    Digestive Diseases and Sciences.2025;[Epub]     CrossRef
  • The Outcomes of Colorectal Endoscopic Submucosal Dissection in Patients with Chronic Kidney Disease: A Honam Association for the Study of Intestinal Disease (HASID) Multicenter Study
    Byung Chul Jin, Dong Hyun Kim, Geom-Seog Seo, Sang-Wook Kim, Hyung-Hoon Oh, Hyo-Yeop Song, Seong-Jung Kim, Young-Eun Joo, Jun Lee, Hyun-Soo Kim
    Diagnostics.2024; 14(13): 1459.     CrossRef
  • Characteristics of factors contributing to follow-up for suspected delayed bleeding after colorectal endoscopic submucosal dissection
    Satsuki Takahashi, Kenichiro Okimoto, Tomoaki Matsumura, Yuhei Oyama, Hayato Nakazawa, Yukiyo Mamiya, Chihiro Goto, Ryosuke Horio, Akane Kurosugi, Michiko Sonoda, Tatsuya Kaneko, Naoki Akizue, Yuki Ohta, Takashi Taida, Keiko Saito, Jun Kato, Naoya Kato
    Gastrointestinal Endoscopy.2024; 100(4): 718.     CrossRef
  • Effect of renal insufficiency on the short‐ and long‐term outcomes of endoscopic submucosal dissection for early gastric cancer: Propensity score‐matched analysis
    Tae‐Se Kim, Byung‐Hoon Min, Sun‐Young Baek, Kyunga Kim, Yang Won Min, Hyuk Lee, Poong‐Lyul Rhee, Jae J. Kim, Jun Haeng Lee
    Digestive Endoscopy.2023; 35(7): 869.     CrossRef
  • Safeness of Endoscopic Resection in Patients with End-Stage Renal Disease on Dialysis
    Sun-Jin Boo
    Clinical Endoscopy.2020; 53(4): 381.     CrossRef
  • 5,451 View
  • 150 Download
  • 7 Web of Science
  • 7 Crossref
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Case Report
Peripheral Facial Nerve Palsy after Therapeutic Endoscopy
Eun Jeong Kim, Jun Lee, Ji Woon Lee, Jun Hyung Lee, Chol Jin Park, Young Dae Kim, Hyun Jin Lee
Clin Endosc 2015;48(2):171-173.   Published online March 27, 2015
DOI: https://doi.org/10.5946/ce.2015.48.2.171
AbstractAbstract PDFPubReaderePub

Peripheral facial nerve palsy (FNP) is a mononeuropathy that affects the peripheral part of the facial nerve. Primary causes of peripheral FNP remain largely unknown, but detectable causes include systemic infections (viral and others), trauma, ischemia, tumor, and extrinsic compression. Peripheral FNP in relation to extrinsic compression has rarely been described in case reports. Here, we report a case of a 71-year-old man who was diagnosed with peripheral FNP following endoscopic submucosal dissection. This case is the first report of the development of peripheral FNP in a patient undergoing therapeutic endoscopy. We emphasize the fact that physicians should be attentive to the development of peripheral FNP following therapeutic endoscopy.

Citations

Citations to this article as recorded by  
  • Drooping After Scoping: A Rare Case of Peripheral Facial Nerve Palsy After RoutineEsophagogastroduodenoscopy
    Yixi Tu, Christopher Shin, Katie Schroeder
    ACG Case Reports Journal.2022; 9(1): e00687.     CrossRef
  • A Case Report of a Patient with Facial Nerve Palsy that Occurred Consecutively on Both Sides After Gastroscopy
    Hyo-won Jin, Sol Jeong, Jeong-rim Bak, Ji-hyun Hwang, Jong-min Yun, Byung-soon Moon
    The Journal of Internal Korean Medicine.2022; 43(5): 989.     CrossRef
  • A Rare Complication of Spine Surgery: Case Report of Peripheral Facial Palsy
    Serdar Demiröz, Ismail E. Ketenci, Hakan S. Yanik, Sevki Erdem
    Journal of Neurosurgical Anesthesiology.2017; 29(4): 468.     CrossRef
  • Facial palsy following cochlear implantation
    Farid Alzhrani, Thomas Lenarz, Magnus Teschner
    European Archives of Oto-Rhino-Laryngology.2016; 273(12): 4199.     CrossRef
  • 6,753 View
  • 56 Download
  • 3 Web of Science
  • 4 Crossref
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Review
Management of Acute Variceal Bleeding
Young Dae Kim
Clin Endosc 2014;47(4):308-314.   Published online July 28, 2014
DOI: https://doi.org/10.5946/ce.2014.47.4.308
AbstractAbstract PDFPubReaderePub

Acute variceal bleeding could be a fatal complication in patients with liver cirrhosis. In patients with decompensated liver cirrhosis accompanied by ascites or hepatic encephalopathy, acute variceal bleeding is associated with a high mortality rate. Therefore, timely endoscopic hemostasis and prevention of relapse of bleeding are most important. The treatment goals for acute variceal bleeding are to correct hypovolemia; achieve rapid hemostasis; and prevent early rebleeding, complications related to bleeding, and deterioration of liver function. If variceal bleeding is suspected, treatment with vasopressors and antibiotics should be initiated immediately on arrival to the hospital. Furthermore, to obtain hemodynamic stability, the hemoglobin level should be maintained at >8 g/dL, systolic blood pressure >90 to 100 mm Hg, heart rate <100/min, and the central venous pressure from 1 to 5 mm Hg. When the patient becomes hemodynamically stable, hemostasis should be achieved by performing endoscopy as soon as possible. For esophageal variceal bleeding, endoscopic variceal ligation is usually performed, and for gastric variceal bleeding, endoscopic variceal obturation is performed primarily. If it is considered difficult to achieve hemostasis through endoscopy, salvage therapy may be carried out while keeping the patient hemodynamically stable.

Citations

Citations to this article as recorded by  
  • Developing a nomogram for forecasting the 28-day mortality rate of individuals with bleeding esophageal varices using model for end-stage liver disease scores
    Siming Lin, Jantao Zheng, Chanjuan Zhou, Shaodan Feng, Zhihong Lin
    Journal of Gastrointestinal Surgery.2024; 28(10): 1646.     CrossRef
  • Imaging of the Inferior Mesenteric Vasculature
    Anup S. Shetty, Tyler J. Fraum, Daniel R. Ludwig, Malak Itani, Mohamed Z. Rajput, Benjamin S. Strnad, Katerina S. Konstantinoff, Andrew L. Chang, Suraj Kapoor, Utkarsh Parwal, Dennis M. Balfe, Vincent M. Mellnick
    RadioGraphics.2024;[Epub]     CrossRef
  • Non-cirrhotic portal fibrosis/idiopathic portal hypertension: APASL recommendations for diagnosis and management
    Akash Shukla, Don C. Rockey, Patrick S. Kamath, David E. Kleiner, Ankita Singh, Arun Vaidya, Abraham Koshy, Ashish Goel, A. Kadir Dökmeci, Babulal Meena, Cyriac Abby Philips, Chhagan Bihari Sharma, Diana A. Payawal, Dong Joon Kim, Gin-Ho Lo, Guohong Han,
    Hepatology International.2024; 18(6): 1684.     CrossRef
  • Factors associated with severity and length of hospital stay in patients with acute upper gastrointestinal bleeding: insights from two Ethiopian hospitals
    Missgana Worku Belete, Molla Asnake Kebede, Meaza Rorisa Bedane, Trhas Tadesse Berhe, Alemayehu Beharu Tekle, Erkihun Pawlos Shash, Misikr Alemu Eshetu, Girma Daniel Bushiso, Biruk Yacob Loge
    International Journal of Emergency Medicine.2024;[Epub]     CrossRef
  • Purastat as an Adjunct Treatment Option in Acute Esophageal Varices Bleeding: A Case Report
    Imran H Hassan, David Elphick, Ammar Al-Rifaie
    Cureus.2023;[Epub]     CrossRef
  • Establishment of a non-invasive prediction model for the risk of oesophageal variceal bleeding using radiomics based on CT
    H. Liu, J. Sun, G. Liu, X. Liu, Q. Zhou, J. Zhou
    Clinical Radiology.2022; 77(5): 368.     CrossRef
  • Transsplenic Portal System Catheterization: Review of Current Indications and Techniques
    Kenneth S. Zurcher, Mathew V. Smith, Sailendra G. Naidu, Gia Saini, Indravadan J. Patel, M. Grace Knuttinen, J. Scott Kriegshauser, Rahmi Oklu, Sadeer J. Alzubaidi
    RadioGraphics.2022; 42(5): 1562.     CrossRef
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    Xuesong Jin, Xiaohong Wang, Pengfei Mao, Peng-Yue Zhang
    Evidence-Based Complementary and Alternative Medicine.2022; 2022: 1.     CrossRef
  • Prognosis of endotherapy versus splenectomy and devascularization for variceal bleeding in patients with hepatitis B-related cirrhosis
    Jia-li Ma, Ling-ling He, Ping Li, Li Jiang, Hong-shan Wei
    Surgical Endoscopy.2021; 35(6): 2620.     CrossRef
  • Pathophysiology and Management of Variceal Bleeding
    Saleh A. Alqahtani, Sunguk Jang
    Drugs.2021; 81(6): 647.     CrossRef
  • Acute variceal bleeding and out-of-hours endoscopy: Evaluation of an emergency care setting according to Baveno VI guidelines adherence
    Joana Alves da Silva, Daniela Falcão, Luís Maia, Tiago Pereira Guedes, Mónica Garrido, Maria Inês Novo, Marta Rocha, Pedro Pinto, Teresa Moreira, José Manuel Ferreira, Isabel Pedroto
    Digestive and Liver Disease.2021; 53(10): 1320.     CrossRef
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    Hong Liu, Jianqing Sun, Xianwang Liu, Guangyao Liu, Qing Zhou, Juan Deng, Junlin Zhou
    Abdominal Radiology.2021; 46(11): 5190.     CrossRef
  • Endo-hepatology: An emerging field
    Daniel E Hogan, Michael Ma, David Kadosh, Alisha Menon, Kana Chin, Arun Swaminath
    World Journal of Gastrointestinal Endoscopy.2021; 13(8): 296.     CrossRef
  • New model predicting gastroesophageal varices and variceal hemorrhage in patients with chronic liver disease
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    Annals of Hepatology.2020; 19(3): 287.     CrossRef
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    Medicine.2020; 99(11): e19485.     CrossRef
  • Clinical Features and Outcomes of Repeated Endoscopic Therapy for Esophagogastric Variceal Hemorrhage in Cirrhotic Patients: Ten-Year Real-World Analysis
    Jia-li Ma, Ling-ling He, Ping Li, Yu Jiang, Ju-long Hu, Yu-ling Zhou, Xiu-xia Liang, Hong-shan Wei
    Gastroenterology Research and Practice.2020; 2020: 1.     CrossRef
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    FNU Chesta, Zaheer H. Rizvi, Meher Oberoi, Navtej Buttar
    Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(4): 205.     CrossRef
  • Acute Life-Threatening Complications of Portal Hypertension: a Review of Pathophysiology, Incidence, Management, and Cost
    Robert E. Smith, Alice D. Friedman, James A. Murchison, S. Blake Tanner, P. Alexander Smith, Bradley T. Dollar
    SN Comprehensive Clinical Medicine.2020; 2(9): 1628.     CrossRef
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    Jongbeom Shin, Jung Hwan Yu, Young-Joo Jin, Hyung Joon Yim, Young Kul Jung, Jin Mo Yang, Do Seon Song, Young Seok Kim, Sang Gyune Kim, Dong Joon Kim, Ki Tae Suk, Eileen L. Yoon, Sang Soo Lee, Chang Wook Kim, Hee Yeon Kim, Jae Young Jang, Soung Won Jeong
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    A. Zh. Bayaliyeva, Ju. N. Yankovich, R. R. Nagimullin, V. R. Davydova
    Creative surgery and oncology.2019; 8(3): 225.     CrossRef
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    Yonsei Medical Journal.2019; 60(4): 368.     CrossRef
  • Endoscopic Removal of Inflated Transected Sengstaken–Blakemore Tube Using Endoscopic Scissors
    Jun Ho Lee, Eu-Kwon Hwang, Chanmesa Doeun, Jeong-Ju Yoo, Sang Gyune Kim, Young Seok Kim
    Clinical Endoscopy.2019; 52(2): 182.     CrossRef
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  • Highlights from the 50th Seminar of the Korean Society of Gastrointestinal Endoscopy
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    Clinical Endoscopy.2014; 47(4): 285.     CrossRef
  • 13,715 View
  • 254 Download
  • 35 Web of Science
  • 33 Crossref
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