胃癌术后出血的预防及处理_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 李子禹 , 吴舟桥

北京大学肿瘤医院暨北京市肿瘤防治研究所胃肠肿瘤中心外科一病区恶性肿瘤发病机制及转化研究教育部重点实验室（北京 100142）;

Corresponding author：

李子禹, Email: ziyu_li@pku.edu.cn

Keywords：

DOI：

10.7507/1007-9424.202104020

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Citation： 李子禹, 吴舟桥. 胃癌术后出血的预防及处理. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2021, 28(6): 704-707. doi: 10.7507/1007-9424.202104020 Copy

1.	Yang J, Zhang XH, Huang YH, et al. Diagnosis and treatment of abdominal arterial bleeding after radical gastrectomy: a retrospective analysis of 1 875 consecutive resections for gastric cancer. J Gastrointest Surg, 2016, 20(3): 510-520.
2.	Park JY, Kim YW, Eom BW, et al. Unique patterns and proper management of postgastrectomy bleeding in patients with gastric cancer. Surgery, 2014, 155(6): 1023-1029.
3.	王丹, 吴舟桥, 王薇, 等. 北京大学肿瘤医院11年腹盆腔非计划二次手术现状分析. 中华胃肠外科杂志, 2019, 22(9): 869-875.
4.	Kunitomo A, Misawa K, Sato Y, et al. Gastroduodenal artery pseudoaneurysm hemorrhage 1 year after laparoscopic distal gastrectomy: a case report. Surg Case Rep, 2020, 6(1): 38.
5.	Jeong O, Park YK, Ryu SY, et al. Predisposing factors and management of postoperative bleeding after radical gastrectomy for gastric carcinoma. Surg Today, 2011, 41(3): 363-368.
6.	Yoshioka T, Nishida T, Tsujii M, et al. Renal dysfunction is an independent risk factor for bleeding after gastric ESD. Endosc Int Open, 2015, 3(1): E39-E45.
7.	van Rooijen S, Carli F, Dalton S, et al. Multimodal prehabilitation in colorectal cancer patients to improve functional capacity and reduce postoperative complications: the first international randomized controlled trial for multimodal prehabilitation. BMC Cancer, 2019, 19(1): 98.
8.	中华医学会血液学分会血栓与止血学组. 成人原发免疫性血小板减少症诊断与治疗中国指南(2020年版). 中华血液学杂志, 2020, 41(8): 617-623.
9.	Guadagni S, De Bernardinis G, Pavone P, et al. A rare cause of digestive hemorrhage: an aneurysm of the superior pancreaticoduodenal artery rupturing into the duodenal stump of a Billroth Ⅱ partial gastrectomy. Surg Today, 1992, 22(3): 273-275.
10.	Yoshio T, Tomida H, Iwasaki R, et al. Effect of direct oral anticoagulants on the risk of delayed bleeding after gastric endoscopic submucosal dissection. Dig Endosc, 2017, 29(6): 686-694.
11.	中国临床肿瘤学会肿瘤与血栓专家委员会. 肿瘤相关静脉血栓栓塞症预防与治疗指南(2019版). 中国肿瘤临床, 2019, 46(13): 653-660.
12.	Tsujinaka T, Sasako M, Yamamoto S, et al. Influence of overweight on surgical complications for gastric cancer: results from a randomized control trial comparing D2 and extended para-aortic D3 lymphadenectomy (JCOG9501). Ann Surg Oncol, 2007, 14(2): 355-361.
13.	Cho H, Yoshikawa T, Oba MS, et al. Matched pair analysis to examine the effects of a planned preoperative exercise program in early gastric cancer patients with metabolic syndrome to reduce operative risk: the Adjuvant Exercise for General Elective Surgery (AEGES) study group. Ann Surg Oncol, 2014, 21(6): 2044-2050.
14.	Li Z, Shan F, Ying X, et al. Assessment of laparoscopic distal gastrectomy after neoadjuvant chemotherapy for locally advanced gastric cancer: a randomized clinical trial. JAMA Surg, 2019, 154(12): 1093-1101.
15.	Gordon CR, Rojavin Y, Patel M, et al. A review on bevacizumab and surgical wound healing: an important warning to all surgeons. Ann Plast Surg, 2009, 62(6): 707-709.
16.	Wang Y, Liu Z, Shan F, et al. Optimal timing to surgery after neoadjuvant chemotherapy for locally advanced gastric cancer. Front Oncol, 2020, 10: 613988.
17.	Miao R, Qu J, Li Z, et al. Anatomical variation of infra-pyloric artery origination: A prospective multicenter observational study (IPA-Origin). Chin J Cancer Res, 2018, 30(5): 500-507.
18.	李子禹, 李浙民, 李双喜, 等. 腹腔镜胃癌根治术后出血的原因与处理策略. 中华普外科手术学杂志(电子版), 2015, 9(2): 90-93.
19.	Nakayama S, Hasegawa S, Nagayama S, et al. The importance of precompression time for secure stapling with a linear stapler. Surg Endosc, 2011, 25(7): 2382-2386.
20.	Morita K, Maeda N, Kawaoka T, et al. Effects of the time interval between clamping and linear stapling for resection of porcine small intestine. Surg Endosc, 2008, 22(3): 750-756.
21.	Hachey KJ, Hewes PD, Porter LP, et al. Caprini venous thromboembolism risk assessment permits selection for postdischarge prophylactic anticoagulation in patients with resectable lung cancer. J Thorac Cardiovasc Surg, 2016, 151(1): 37-44. e1.
22.	Mita K, Ito H, Murabayashi R, et al. Postoperative bleeding complications after gastric cancer surgery in patients receiving anticoagulation and/or antiplatelet agents. Ann Surg Oncol, 2012, 19(12): 3745-3752.
23.	Hanh BM, Cuong LQ, Son NT, et al. Determination of risk factors for venous thromboembolism by an adapted caprini scoring system in surgical patients. J Pers Med, 2019, 9(3): 36.
24.	代晓强, 马宁. 腹腔镜下D2淋巴结清扫胃癌根治术后出血的危险因素分析. 腹腔镜外科杂志, 2019, 24(6): 410-413.
25.	中国医师协会外科医师分会, 中国医师协会外科医师分会肿瘤外科医师委员会, 中国医师协会外科医师分会多学科综合治疗专业委员会. 恶性肿瘤相关急腹症多学科管理中国专家共识. 中华胃肠外科杂志, 2020, 23(5): 421-437.
26.	Oakland K, Chadwick G, East JE, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut, 2019, 68(5): 776-789.
27.	Lee S, Ahn JY, Na S, et al. Clinical features of postoperative anastomotic bleeding after gastrectomy and efficacy of endoscopic hemostasis: a case-control study. Surg Endosc, 2017, 31(8): 3210-3218.
28.	Stravodimos G, Komporozos V, Papazoglou A. Case report of a successful non-operative management of postoperative bleeding from pseudoaneurysm of the gastroduodenal artery, following gastric surgery. Int J Surg Case Rep, 2021, 78: 54-57.
29.	Chen L, Ming X, Gu R, et al. Treatment experience of delayed massive gastrointestinal bleeding caused by intra-abdominal arteriointestinal fistula in gastric cancer patients after radical gastrectomy. World J Surg Oncol, 2019, 17(1): 201.
30.	Song W, Yuan Y, Peng J, et al. The delayed massive hemorrhage after gastrectomy in patients with gastric cancer: characteristics, management opinions and risk factors. Eur J Surg Oncol, 2014, 40(10): 1299-1306.
31.	Li Z, Jie Z, Liu Y, et al. Management of delayed hemorrhage following radical gastrectomy for gastric carcinoma patients. Hepatogastroenterology, 2012, 59(118): 2016-2019.
32.	汪雷, 万圣云, 周连帮, 等. 假性动脉瘤破裂导致胃癌术后上消化道大出血. 世界华人消化杂志, 2014, 22(2): 244-248.
33.	杜哲, 黄伟, 王志伟, 等. 多学科协作诊疗模式在严重创伤患者救治中的应用. 北京大学学报(医学版), 2020, 52(2): 298-301.

1. Yang J, Zhang XH, Huang YH, et al. Diagnosis and treatment of abdominal arterial bleeding after radical gastrectomy: a retrospective analysis of 1 875 consecutive resections for gastric cancer. J Gastrointest Surg, 2016, 20(3): 510-520.
2. Park JY, Kim YW, Eom BW, et al. Unique patterns and proper management of postgastrectomy bleeding in patients with gastric cancer. Surgery, 2014, 155(6): 1023-1029.
3. 王丹, 吴舟桥, 王薇, 等. 北京大学肿瘤医院11年腹盆腔非计划二次手术现状分析. 中华胃肠外科杂志, 2019, 22(9): 869-875.
4. Kunitomo A, Misawa K, Sato Y, et al. Gastroduodenal artery pseudoaneurysm hemorrhage 1 year after laparoscopic distal gastrectomy: a case report. Surg Case Rep, 2020, 6(1): 38.
5. Jeong O, Park YK, Ryu SY, et al. Predisposing factors and management of postoperative bleeding after radical gastrectomy for gastric carcinoma. Surg Today, 2011, 41(3): 363-368.
6. Yoshioka T, Nishida T, Tsujii M, et al. Renal dysfunction is an independent risk factor for bleeding after gastric ESD. Endosc Int Open, 2015, 3(1): E39-E45.
7. van Rooijen S, Carli F, Dalton S, et al. Multimodal prehabilitation in colorectal cancer patients to improve functional capacity and reduce postoperative complications: the first international randomized controlled trial for multimodal prehabilitation. BMC Cancer, 2019, 19(1): 98.
8. 中华医学会血液学分会血栓与止血学组. 成人原发免疫性血小板减少症诊断与治疗中国指南(2020年版). 中华血液学杂志, 2020, 41(8): 617-623.
9. Guadagni S, De Bernardinis G, Pavone P, et al. A rare cause of digestive hemorrhage: an aneurysm of the superior pancreaticoduodenal artery rupturing into the duodenal stump of a Billroth Ⅱ partial gastrectomy. Surg Today, 1992, 22(3): 273-275.
10. Yoshio T, Tomida H, Iwasaki R, et al. Effect of direct oral anticoagulants on the risk of delayed bleeding after gastric endoscopic submucosal dissection. Dig Endosc, 2017, 29(6): 686-694.
11. 中国临床肿瘤学会肿瘤与血栓专家委员会. 肿瘤相关静脉血栓栓塞症预防与治疗指南(2019版). 中国肿瘤临床, 2019, 46(13): 653-660.
12. Tsujinaka T, Sasako M, Yamamoto S, et al. Influence of overweight on surgical complications for gastric cancer: results from a randomized control trial comparing D2 and extended para-aortic D3 lymphadenectomy (JCOG9501). Ann Surg Oncol, 2007, 14(2): 355-361.
13. Cho H, Yoshikawa T, Oba MS, et al. Matched pair analysis to examine the effects of a planned preoperative exercise program in early gastric cancer patients with metabolic syndrome to reduce operative risk: the Adjuvant Exercise for General Elective Surgery (AEGES) study group. Ann Surg Oncol, 2014, 21(6): 2044-2050.
14. Li Z, Shan F, Ying X, et al. Assessment of laparoscopic distal gastrectomy after neoadjuvant chemotherapy for locally advanced gastric cancer: a randomized clinical trial. JAMA Surg, 2019, 154(12): 1093-1101.
15. Gordon CR, Rojavin Y, Patel M, et al. A review on bevacizumab and surgical wound healing: an important warning to all surgeons. Ann Plast Surg, 2009, 62(6): 707-709.
16. Wang Y, Liu Z, Shan F, et al. Optimal timing to surgery after neoadjuvant chemotherapy for locally advanced gastric cancer. Front Oncol, 2020, 10: 613988.
17. Miao R, Qu J, Li Z, et al. Anatomical variation of infra-pyloric artery origination: A prospective multicenter observational study (IPA-Origin). Chin J Cancer Res, 2018, 30(5): 500-507.
18. 李子禹, 李浙民, 李双喜, 等. 腹腔镜胃癌根治术后出血的原因与处理策略. 中华普外科手术学杂志(电子版), 2015, 9(2): 90-93.
19. Nakayama S, Hasegawa S, Nagayama S, et al. The importance of precompression time for secure stapling with a linear stapler. Surg Endosc, 2011, 25(7): 2382-2386.
20. Morita K, Maeda N, Kawaoka T, et al. Effects of the time interval between clamping and linear stapling for resection of porcine small intestine. Surg Endosc, 2008, 22(3): 750-756.
21. Hachey KJ, Hewes PD, Porter LP, et al. Caprini venous thromboembolism risk assessment permits selection for postdischarge prophylactic anticoagulation in patients with resectable lung cancer. J Thorac Cardiovasc Surg, 2016, 151(1): 37-44. e1.
22. Mita K, Ito H, Murabayashi R, et al. Postoperative bleeding complications after gastric cancer surgery in patients receiving anticoagulation and/or antiplatelet agents. Ann Surg Oncol, 2012, 19(12): 3745-3752.
23. Hanh BM, Cuong LQ, Son NT, et al. Determination of risk factors for venous thromboembolism by an adapted caprini scoring system in surgical patients. J Pers Med, 2019, 9(3): 36.
24. 代晓强, 马宁. 腹腔镜下D2淋巴结清扫胃癌根治术后出血的危险因素分析. 腹腔镜外科杂志, 2019, 24(6): 410-413.
25. 中国医师协会外科医师分会, 中国医师协会外科医师分会肿瘤外科医师委员会, 中国医师协会外科医师分会多学科综合治疗专业委员会. 恶性肿瘤相关急腹症多学科管理中国专家共识. 中华胃肠外科杂志, 2020, 23(5): 421-437.
26. Oakland K, Chadwick G, East JE, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut, 2019, 68(5): 776-789.
27. Lee S, Ahn JY, Na S, et al. Clinical features of postoperative anastomotic bleeding after gastrectomy and efficacy of endoscopic hemostasis: a case-control study. Surg Endosc, 2017, 31(8): 3210-3218.
28. Stravodimos G, Komporozos V, Papazoglou A. Case report of a successful non-operative management of postoperative bleeding from pseudoaneurysm of the gastroduodenal artery, following gastric surgery. Int J Surg Case Rep, 2021, 78: 54-57.
29. Chen L, Ming X, Gu R, et al. Treatment experience of delayed massive gastrointestinal bleeding caused by intra-abdominal arteriointestinal fistula in gastric cancer patients after radical gastrectomy. World J Surg Oncol, 2019, 17(1): 201.
30. Song W, Yuan Y, Peng J, et al. The delayed massive hemorrhage after gastrectomy in patients with gastric cancer: characteristics, management opinions and risk factors. Eur J Surg Oncol, 2014, 40(10): 1299-1306.
31. Li Z, Jie Z, Liu Y, et al. Management of delayed hemorrhage following radical gastrectomy for gastric carcinoma patients. Hepatogastroenterology, 2012, 59(118): 2016-2019.
32. 汪雷, 万圣云, 周连帮, 等. 假性动脉瘤破裂导致胃癌术后上消化道大出血. 世界华人消化杂志, 2014, 22(2): 244-248.
33. 杜哲, 黄伟, 王志伟, 等. 多学科协作诊疗模式在严重创伤患者救治中的应用. 北京大学学报(医学版), 2020, 52(2): 298-301.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

胃癌术后出血的预防及处理

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