2021
DOI: 10.1007/s00384-021-03921-x
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Optimal definition of coagulation syndrome after colorectal endoscopic submucosal dissection: a post hoc analysis of randomized controlled trial

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Cited by 4 publications
(5 citation statements)
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“…Some studies defined PECS according to the presence of both abdominal pain and an inflammatory response, 2,4,6,11,14–17 whereas others defined PECS as the presence of either abdominal pain or an inflammatory response 3,7,18 . However, the results of our previous study indicating that the later criteria comprising the presence of either localized abdominal pain or an inflammatory response is the optimal diagnostic criteria for PECS as some patients with obvious abdominal pain or severe inflammation did not meet the former criteria for PECS 13 . We therefore defined PECS as either localized abdominal pain or an inflammatory response (fever or leukocytosis) in the present study accordingly to our previously proposed definition of PECS 13 …”
Section: Discussionmentioning
confidence: 71%
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“…Some studies defined PECS according to the presence of both abdominal pain and an inflammatory response, 2,4,6,11,14–17 whereas others defined PECS as the presence of either abdominal pain or an inflammatory response 3,7,18 . However, the results of our previous study indicating that the later criteria comprising the presence of either localized abdominal pain or an inflammatory response is the optimal diagnostic criteria for PECS as some patients with obvious abdominal pain or severe inflammation did not meet the former criteria for PECS 13 . We therefore defined PECS as either localized abdominal pain or an inflammatory response (fever or leukocytosis) in the present study accordingly to our previously proposed definition of PECS 13 …”
Section: Discussionmentioning
confidence: 71%
“…3,7,18 However, the results of our previous study indicating that the later criteria comprising the presence of either localized abdominal pain or an inflammatory response is the optimal diagnostic criteria for PECS as some patients with obvious abdominal pain or severe inflammation did not meet the former criteria for PECS. 13 We therefore defined PECS as either localized abdominal pain or an inflammatory response (fever or leukocytosis) in the present study accordingly to our previously proposed definition of PECS. 13 In conclusion, the maXium unit, which is a novel electrosurgical unit, did not reduce the incidence of PECS following colorectal ESD.…”
Section: Discussionmentioning
confidence: 99%
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“…Although post-ESD coagulation syndrome (PECS) is not well defined, clinical diagnosis is based on the presence of localized abdominal tenderness near the ESD site, fever, or laboratory evidence of an inflammatory response, such as elevated C-reactive protein levels and leukocytosis. 36 , 37 The pathogenesis of PECS is similar to that of postpolypectomy coagulation syndrome. 38 , 39 The mechanism of PECS involves transmural bowel injury complicated by electrocautery ( Fig.…”
Section: Postprocedural Complicationsmentioning
confidence: 99%