Table 3.
ESD result per patient | PPI group 71 patients |
VPZ group 59 patients |
p | |||||
---|---|---|---|---|---|---|---|---|
Curability, n (%) | Curative | 54 (76) | 53 (90) | 0.04 | ||||
Noncurative | 17 (24) | 6 (10) | ||||||
Perforation during ESD, n (%) | 2 (2.8) | 1 (1.6) | 0.67 | |||||
Ulcer protection | None | 51 (72) | 43 (73) | 0.89 | ||||
Clip closure | 10 (14) | 15 (25) | 0.1 | |||||
PGA | 10 (14) | 1 (2) | 0.01 | |||||
Hb drop after ESD, g/dL (average, range) | 0.9 (-2.5-7.9) |
0.95 (-2.6-9.1) |
0.8 | |||||
Hemostasis during second-look EGD, n (%) | 9 (13) | 11 (19) | 0.34 | |||||
Overall delayed bleeding after ESD | 13 events (18%) in 9 patients | 18 events (31%) in 17 patients | 0.10 | |||||
Delayed bleeding after 2 days of ESD, n (%) | 12 (17) | 8 (14) | 0.59 | |||||
Blood transfusion, n (%) | 2 (2.8) | 3 (5) | 0.2 |
PGA: polyglycolic acid sheet, PPI: proton-pump inhibitor, VPZ: vonoprazan, EGD: esophagogastroduodenoscopy, ESD: endoscopic submucosal dissection, Hb: hemoglobin