OBJECTIVES@#To study the
risk factors for
complications after endoscopic
therapy for upper gastrointestinal subepithelial lesions (SELs).@*
METHODS@#Retrospective
analysis was performed on 184
patients in the Department of
Gastroenterology in the Third Xiangya
Hospital, Central South
University after
therapeutic endoscopy [
endoscopic submucosal dissection (ESD), endoscopic full-thickness resection (EFR), endoscopic submucosal excavation (ESE), and
submucosal tunneling endoscopic resection (STER)] for the upper gastrointestinal SELs from 2014-09-01 to 2019-09-30. The clinic data were collected and
risk factors for
postoperative complications were analyzed.@*RESULTS@#Among the 184
patients, 22
patients were in the complication group (including 3 cases of delayed
bleeding, 2 cases of delayed perforation, and 17 cases of
electrocoagulation syndrome) and 162
patients were in the non-complication group. There was no significant difference between the complication group and the non-complication group in
gender, age over 70 year, basic
diseases, lesion
location, lesion invasion layers, pathological results, endoscopic
therapy, and preventive closure of
wounds (all @*CONCLUSIONS@#For the
patients with upper gastrointestinal SELs after endoscopic minimally invasive
therapy with the lesion diameter over 40 mm and the
operative time over 120 minutes, it
needs to highly alert to the occurrence of
postoperative complications.