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A novel self-assembling peptide for hemostasis during endoscopic submucosal dissection: A randomized controlled trial

Endoscopy, ISSN: 1438-8812, Vol: 53, Issue: 1, Page: 27-35
2021
  • 72
    Citations
  • 0
    Usage
  • 55
    Captures
  • 1
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    72
  • Captures
    55
  • Mentions
    1
    • News Mentions
      1
      • News
        1

Most Recent News

A Prospective Study: The Effect of RADA16 on Mastoid Cavity Epithelialization After Canal Wall Down Mastoidectomy

2024 DEC 06 (NewsRx) -- By a News Reporter-Staff News Editor at Disease Prevention Daily -- Staff editors report on the newly launched clinical trial,

Article Description

Background  Endoscopic submucosal dissection (ESD) is associated with a risk of bleeding. Bleeding is usually treated with diathermy, although this does carry a risk of mucosal thermal injury. Purastat is a topical hemostat that may be effective in controlling bleeding during ESD, thereby reducing the use of heat therapy. The aim of this study was to assess the reduction in heat therapy used in the interventional group (Purastat) compared with the control group. The secondary aims were to compare the procedure length, time for hemostasis, delayed bleeding rate, adverse events, and wound healing between the groups. Methods  This was a single-center randomized controlled trial of 101 patients undergoing ESD. Participants were randomized to a control group where diathermy was used to control bleeding or an interventional group where Purastat could be used. Follow-up endoscopy was performed at 4 weeks to assess wound healing. Results  There was a significant reduction in the use of heat therapy for intraprocedural hemostasis in the interventional group compared with controls (49.3 % vs. 99.6 %, P  < 0.001). There were no significant differences in the procedure length, time for hemostasis, and delayed bleeding rate between the groups. Complete wound healing at 4 weeks was noted in 48.8 % of patients in the interventional group compared with 25.0 % of controls (P  = 0.02). Conclusions  This study has demonstrated that Purastat is an effective hemostat that can reduce the need for heat therapy for bleeding during ESD. It may also have a role in improving post-resection wound healing.

Bibliographic Details

Subramaniam, Sharmila; Kandiah, Kesavan; Chedgy, Fergus; Fogg, Carole; Thayalasekaran, Sreedhari; Alkandari, Asma; Baker-Moffatt, Michelle; Dash, Joanne; Lyons-Amos, Mark; Longcroft-Wheaton, Gaius; Brown, James; Bhandari, Pradeep

Georg Thieme Verlag KG

Medicine

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