Endoscopy
Signal score, how each part rates
ActionabilityPrevalenceStakesEvidence strengthNovelty
See the full rubric →The Hedgehog Method Following Gastric Endoscopic Submucosal Dissection: Observed Postoperative Bleeding Rates Across BEST-J Risk Categories.
Clinical takeawayConsider the Hedgehog method for gastric ESD, particularly in low-risk BEST-J patients, as it demonstrated a low postoperative bleeding rate. No clinical action yet: this is a retrospective study without a control group, requiring confirmation in controlled trials.
What it foundPostoperative bleeding occurred in 1.2% of patients (3/259) after gastric ESD using the Hedgehog method, all in the low-risk BEST-J group (1.6%, 95% CI 0.3-4.7%). No bleeding occurred in intermediate-risk (0/31), high-risk (0/32), or very-high-risk groups (0/11). All three bleeding lesions were located in the antrum, and none of the patients received antithrombotic therapy.
ContextThis study provides initial evidence supporting the Hedgehog method's safety in gastric ESD, particularly in low-risk patients, but challenges the assumption that higher-risk groups would have higher bleeding rates.
No standard claimed for this paper
Every paper is compared to the standard governing its question. This one is not: either no standard in the corpus matches it, or the comparison did not hold up on review and was withdrawn rather than published unverified. Both are logged.
Terasaki K … Okanoue T · Digestive Diseases and Sciences · IF 2.5 · PubMed ↗