Clinical Study
Risk Factors for Additional Surgery after Iatrogenic Perforations due to Endoscopic Submucosal Dissection
Table 3
A univariate analysis of variables associated with surgery caused by gastric perforation after endoscopic resection.
| | Variable | Nonsurgery group () | Surgery group () | value |
| | Age ≥ 70 (years) | 22 (36.7) | 2 (22.2) | 0.480 | | Male sex, n (%) | 38 (63.3) | 6 (66.7) | 1.000 | | Location (vertical), upper third, n (%) | 13 (21.7) | 3 (33.3) | 1.000 | | Location (circumferential), anterior, n (%) | 7 (11.7) | 7 (77.8) | 0.000 | | Resected size ≥ 3 (cm), n (%) | 49 (81.7) | 6 (66.7) | 0.373 | | Subepithelial lesion, n (%) | 6 (10.0) | 4 (44.4) | 0.021 | | ESD, n (%) | 51 (85.0) | 9 (100) | 0.594 | | En bloc resection, n (%) | 53 (88.3) | 9 (100) | 0.582 | | Macroperforation, n (%) | 37 (61.7) | 8 (88.9) | 0.147 | | Size of free air in the abdominal cavity ≥ 3 (cm), n (%) | 35 (58.3) | 3 (33.3) | 0.281 | | Abdominal pain score (NRS) ≥ 7, n (%) | 4 (6.7) | 2 (22.2) | 0.172 | | Postprocedure pain killer use ≥ 2, n (%) | 9 (15.0) | 7 (77.8) | 0.000 | | WBC count > 12,000/mm3, n (%) | 14 (23.3) | 3 (33.3) | 0.679 | | Body temperature (>37.0°C), n (%) | 9 (15.0) | 3 (33.3) | 0.183 | | Heart rate (≥100/min), n (%) | 3 (5.0) | 3 (33.3) | 0.026 |
|
|
ESD: endoscopic submucosal dissection.
|
