Predictive Factors for Pain After Endoscopic Resection of Gastric Tumors

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Abstract

Background: Abdominal pain is a common complaint following endoscopic resection (ER). Aims: To investigate the predictive factors for abdominal pain after ER. Methods: Patients who were scheduled to undergo endoscopic mucosal resection or endoscopic submucosal dissection for the treatment of gastric adenoma or cancer were prospectively enrolled. Pain scores were checked every 6 h after ER and whenever patients complained of pain by using a 0–10 pain scale. If the pain score exceeded 5, 25 mg of intravenous (IV) pethidine was administered. Results: Among 156 patients who underwent ER, 66 (42.3 %) received IV pethidine due to moderate/severe abdominal pain. Both the number of patients complaining of abdominal pain and the pain scores decreased with time following the procedure, with only a few patients complaining of mild abdominal pain 2 days after ER. Multivariate analysis showed that female sex [odds ratio (OR) 2.88; confidence interval (CI) 1.31–6.33], tumor location in the lower third of the stomach (OR 5.46; CI 2.31–12.92), and procedures time more than 60 min (OR 2.96; CI 1.26–6.98) were significant predictive factors for developing pain after ER. Conclusions: Female sex, tumor location in the lower third of the stomach, and longer procedure time were significantly associated with pain after ER. Close monitoring and active management of pain is recommended for patients who have these risk factors. With these efforts, the majority of patients could experience pain relief within 2 days after the procedure.

Original languageEnglish
Pages (from-to)3560-3564
Number of pages5
JournalDigestive Diseases and Sciences
Volume61
Issue number12
DOIs
Publication statusPublished - 2016 Dec 1

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Stomach
Pain
Abdominal Pain
Neoplasms
Meperidine
Odds Ratio
Confidence Intervals
Sex Ratio
Pain Management
Adenoma
Multivariate Analysis

Keywords

  • Endoscopic mucosal resection
  • Endoscopic submucosal dissection
  • Gastric neoplasm
  • Pain

ASJC Scopus subject areas

  • Physiology
  • Gastroenterology

Cite this

@article{d484ac5263fb47c380e2acaa33bb86f9,
title = "Predictive Factors for Pain After Endoscopic Resection of Gastric Tumors",
abstract = "Background: Abdominal pain is a common complaint following endoscopic resection (ER). Aims: To investigate the predictive factors for abdominal pain after ER. Methods: Patients who were scheduled to undergo endoscopic mucosal resection or endoscopic submucosal dissection for the treatment of gastric adenoma or cancer were prospectively enrolled. Pain scores were checked every 6 h after ER and whenever patients complained of pain by using a 0–10 pain scale. If the pain score exceeded 5, 25 mg of intravenous (IV) pethidine was administered. Results: Among 156 patients who underwent ER, 66 (42.3 {\%}) received IV pethidine due to moderate/severe abdominal pain. Both the number of patients complaining of abdominal pain and the pain scores decreased with time following the procedure, with only a few patients complaining of mild abdominal pain 2 days after ER. Multivariate analysis showed that female sex [odds ratio (OR) 2.88; confidence interval (CI) 1.31–6.33], tumor location in the lower third of the stomach (OR 5.46; CI 2.31–12.92), and procedures time more than 60 min (OR 2.96; CI 1.26–6.98) were significant predictive factors for developing pain after ER. Conclusions: Female sex, tumor location in the lower third of the stomach, and longer procedure time were significantly associated with pain after ER. Close monitoring and active management of pain is recommended for patients who have these risk factors. With these efforts, the majority of patients could experience pain relief within 2 days after the procedure.",
keywords = "Endoscopic mucosal resection, Endoscopic submucosal dissection, Gastric neoplasm, Pain",
author = "Kim, {Seung Young} and Jung, {Sung Woo} and Choe, {Jung Wan} and Hyun, {Jong Jin} and Jung, {Young Kul} and Koo, {Ja Seol} and Yim, {Hyung Joon} and Lee, {Sang Woo}",
year = "2016",
month = "12",
day = "1",
doi = "10.1007/s10620-016-4325-9",
language = "English",
volume = "61",
pages = "3560--3564",
journal = "American Journal of Digestive Diseases",
issn = "0002-9211",
publisher = "Springer New York",
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TY - JOUR

T1 - Predictive Factors for Pain After Endoscopic Resection of Gastric Tumors

AU - Kim, Seung Young

AU - Jung, Sung Woo

AU - Choe, Jung Wan

AU - Hyun, Jong Jin

AU - Jung, Young Kul

AU - Koo, Ja Seol

AU - Yim, Hyung Joon

AU - Lee, Sang Woo

PY - 2016/12/1

Y1 - 2016/12/1

N2 - Background: Abdominal pain is a common complaint following endoscopic resection (ER). Aims: To investigate the predictive factors for abdominal pain after ER. Methods: Patients who were scheduled to undergo endoscopic mucosal resection or endoscopic submucosal dissection for the treatment of gastric adenoma or cancer were prospectively enrolled. Pain scores were checked every 6 h after ER and whenever patients complained of pain by using a 0–10 pain scale. If the pain score exceeded 5, 25 mg of intravenous (IV) pethidine was administered. Results: Among 156 patients who underwent ER, 66 (42.3 %) received IV pethidine due to moderate/severe abdominal pain. Both the number of patients complaining of abdominal pain and the pain scores decreased with time following the procedure, with only a few patients complaining of mild abdominal pain 2 days after ER. Multivariate analysis showed that female sex [odds ratio (OR) 2.88; confidence interval (CI) 1.31–6.33], tumor location in the lower third of the stomach (OR 5.46; CI 2.31–12.92), and procedures time more than 60 min (OR 2.96; CI 1.26–6.98) were significant predictive factors for developing pain after ER. Conclusions: Female sex, tumor location in the lower third of the stomach, and longer procedure time were significantly associated with pain after ER. Close monitoring and active management of pain is recommended for patients who have these risk factors. With these efforts, the majority of patients could experience pain relief within 2 days after the procedure.

AB - Background: Abdominal pain is a common complaint following endoscopic resection (ER). Aims: To investigate the predictive factors for abdominal pain after ER. Methods: Patients who were scheduled to undergo endoscopic mucosal resection or endoscopic submucosal dissection for the treatment of gastric adenoma or cancer were prospectively enrolled. Pain scores were checked every 6 h after ER and whenever patients complained of pain by using a 0–10 pain scale. If the pain score exceeded 5, 25 mg of intravenous (IV) pethidine was administered. Results: Among 156 patients who underwent ER, 66 (42.3 %) received IV pethidine due to moderate/severe abdominal pain. Both the number of patients complaining of abdominal pain and the pain scores decreased with time following the procedure, with only a few patients complaining of mild abdominal pain 2 days after ER. Multivariate analysis showed that female sex [odds ratio (OR) 2.88; confidence interval (CI) 1.31–6.33], tumor location in the lower third of the stomach (OR 5.46; CI 2.31–12.92), and procedures time more than 60 min (OR 2.96; CI 1.26–6.98) were significant predictive factors for developing pain after ER. Conclusions: Female sex, tumor location in the lower third of the stomach, and longer procedure time were significantly associated with pain after ER. Close monitoring and active management of pain is recommended for patients who have these risk factors. With these efforts, the majority of patients could experience pain relief within 2 days after the procedure.

KW - Endoscopic mucosal resection

KW - Endoscopic submucosal dissection

KW - Gastric neoplasm

KW - Pain

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U2 - 10.1007/s10620-016-4325-9

DO - 10.1007/s10620-016-4325-9

M3 - Article

C2 - 27696098

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VL - 61

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EP - 3564

JO - American Journal of Digestive Diseases

JF - American Journal of Digestive Diseases

SN - 0002-9211

IS - 12

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