Copyright
©The Author(s) 2020.
World J Meta-Anal. Oct 28, 2020; 8(5): 411-434
Published online Oct 28, 2020. doi: 10.13105/wjma.v8.i5.411
Published online Oct 28, 2020. doi: 10.13105/wjma.v8.i5.411
Table 1 Characteristics of included studies and participants
| Ref. | Country | Research method | Location | Age (yr) | Gender male, % |
| So et al[49], 2019 | South Korea | Retrospective study | Gastric lesion | 68.8/68.5 | 954, 79.7% |
| Kishida et al[45], 2019 | Japan | Retrospective study | Colorectal lesion | 64/68 | 55, 41.66% |
| Inoue et al[65], 2019 | Japan | Prospective observational study | Gastrointestinal lesion | 67.4 ± 8.3 | 201, 58.6% |
| Harada et al[56], 2019 | Japan | Retrospective study | Gastric lesion | 72.3 ± 8.82 | 414, 69.3% |
| Arimoto et al[54], 2018 | Japan | Retrospective study | Colorectal lesion | 68.5 | 492, 58.3% |
| Azumi et al[39], 2018 | Japan | Retrospective study | Gastric lesion | 73 (41-94) | 284, 64.8% |
| Fujita et al[67], 2018 | Japan | Retrospective study | Colorectal lesion | 72.2 ± 7.4/72.9 ± 8.3 | 63, 73.8% |
| Horikawa et al[58], 2018 | Japan | Retrospective study | Gastric lesion | 78 (56-89) | 77, 77% |
| Izumikawa et al[40], 2018 | Japan | Retrospective study | Gastric lesion | - | 255, 75.25% |
| Kono et al[41], 2018 | Japan | Retrospective study | Gastric lesion | 72 (66-78) | 652, 74.77% |
| Oh et al[60], 2018 | South Korea | Retrospective study | Gastric lesion | 70 (49-85) | 173, 80.47% |
| Park et al[63], 2018 | South Korea | Prospective observationalstudy | Colorectal lesion | 55.8 ± 11.9/52.4 ± 12.3 | 2661, 68.46% |
| Sanomura et al[59], 2018 | Japan | Retrospective study | Gastric lesion | 69.8 ± 9.2 | 719, 70% |
| Seo et al[55], 2018 | South Korea | Retrospective study | Colorectal lesion | 63 (55-69.5) | 723, 60.8% |
| Sakai et al[64], 2018 | Japan | Retrospective study | Colorectal lesion n | 72.6 ± 7.2/69.1 ± 10.9 | 669, 66.63% |
| Yamashita et al[36], 2018 | Japan | Retrospective study | Colorectal lesion | 66.6 ± 10.6 | 373, 57.4% |
| Yanagisawa et al[35], 2018 | Japan | Retrospective study | Gastrointestinal lesion | - | 314, 72.02% |
| Matsumoto et al[46], 2018 | Japan | Retrospective study | Colorectal lesion | 70/65 | 551, 65.44% |
| Harada et al[61], 2017 | Japan | Prospective observational study | Gastric lesion | 76.8 ± 6.0/72.7 ± 7.9 | 40, 88.88% |
| Yano et al[33], 2017 | Japan | Retrospective study | Gastric lesion | 72 (33-94) | 1319, 74.65% |
| Ueki et al[14], 2017 | Japan | Retrospective cohort study | Gastric lesion | 71.2 ± 8.4 | 264, 72.5% |
| Yoshio et al[78], 2017 | Japan | Retrospective study | Gastric lesion | 75/76 | 90, 90.91% |
| Gotoda et al[15], 2017 | Japan | Retrospective study | Gastric lesion | 75, 68.8-81.0 | 410, 77.5% |
| Furuhata et al[17], 2017 | Japan | Retrospective study | Gastric lesion | 69 | 1377, 77.3% |
| Shibuya et al[1], 2017 | Japan | Retrospective study | Colonic lesion | - | Unclear |
| Bronsgeest et al[42], 2017 | Holland | Retrospective study | Colorectal lesion | 67.4 ± 8.3 | 201, 58.6% |
| Ishigami et al[34], 2017 | Japan | Retrospective study | Lower gastrointestinal lesion | 64.9 ± 11.1 | 526, 68% |
| Pigò et al[3], 2017 | Italy | Retrospective study | Colorectal lesion | 65.4 | 385, 63.2% |
| Kono et al[76], 2017 | Japan | Prospective observationalstudy | Upper gastrointestinal lesion | 74 ± 8.3 | 44, 89.8% |
| Lin et al[75], 2017 | United States | Retrospective study | Colorectal lesion | - | Unclear |
| Sato et al[38], 2017 | Japan | Retrospective study | Gastric lesion | 71.1 | 1786, 75.1% |
| Igarashi et al[27], 2017 | Japan | Retrospective study | Gastric lesion | 72.4 | 758, 77.7% |
| Amato et al[31], 2016 | Italy | Prospective observational study | Gastrointestinal lesion | 59 ± 12.1 | 54.3% |
| Kubo et al[32], 2016 | Japan | Retrospective study | Gastrointestinal lesion | 63.9 | 467,59.3% |
| Shindo et al[25], 2016 | Japan | Retrospective study | Gastric lesion | 71 ± 8, 32-87 | 190, 72.5% |
| Yoshida et al[52], 2016 | Japan | Retrospective study | Colorectal lesion | 68.2 ± 10.3 | Unclear |
| Ninomiya et al[53], 2015 | Japan | Retrospective study | Colorectal lesion | 67 ± 11.1 | 410, 70.4% |
| Al-Mammari et al[4], 2015 | United Kingdom | Prospective observational study | Oesophageal lesion | 71, 65-78 | 85, 72.6% |
| Odagiri et al[16], 2015 | Japan | Retrospective cohort study | Colorectal lesion | - | 4495, 59.4% |
| Namasivayam et al[5], 2014 | United States | Retrospective study | Gastrointestinal lesion | 69 | Unclear |
| Terasaki et al[21], 2014 | Japan | Retrospective study | Colorectal lesion | 66.9 ± 11.2 | 233, 64.2% |
| Tounou et al[50], 2014 | Japan | Retrospective study | Gastric lesion | 71.8, 36-92 | 257, 73.4% |
| Suzuki et al[18], 2014 | Japan | Retrospective study | Colorectal lesion | 65.5, 29-86 | 183, 57.7% |
| Matsumura et al[23], 2014 | Japan | Retrospective study | Gastric lesion | 72.1 ± 8.6 | 302, 71.1% |
| Beppu et al[74], 2014 | Japan | Retrospective study | Colorectal lesion | 59.5 ± 11.6 | 176, 84.6% |
| Inoue et al[77], 2014 | Japan | Retrospective study | Colorectal lesion | 69.2 | 95, 81.2% |
| Sanomura et al[66], 2014 | Japan | Retrospective study | Gastric lesion | 73.7 ± 8.9 | 64, 82.1% |
| Yoshio et al[47], 2013 | Japan | Retrospective study | Gastric lesion | 70 | 951, 76.1% |
| Takeuchi et al[29], 2013 | Japan | Retrospective study | Gastric lesion | 5.2 | 477, 57.2% |
| Koh et al[37], 2013 | Japan | Retrospective study | Gastric lesion | 70.3 ± 8.6 | 817, 74% |
| Mukai et al[6], 2012 | Japan | Retrospective study | Gastric lesion | 72.4 ± 8.8 | 116, 72% |
| Lim et al[51], 2012 | South Korea | Retrospective study | Gastric lesion | 62.6 | 1143, 71.8% |
| Miyahara et al[48], 2012 | Japan | Retrospective study | Gastric lesion | 71.7 ± 8.9, 36-92 | 763, 70.5% |
| Cho et al[57], 2012 | South Korea | Retrospective study | Colorectal lesion | 62.2 | 385, 74.9% |
| Toyokawa T et al[24], 2011 | Japan | Retrospective study | Gastric lesion | 26-95 | 811, 72.2% |
| Higashiyama et al[19], 2011 | Japan | Retrospective study | Gastric lesion | 69, 29-91 | 702, 76% |
| Metz et al[2], 2011 | Australia | Prospective observational study | Colonic lesion | 68, 26-93 | Unclear |
| Tokioka et al[30], 2011 | Japan | Retrospective study | Gastric lesion | 69.4 | 378, 73.4% |
| Okada K et al[22], 2011 | Japan | Retrospective study | Gastric lesion | 68.4, 33-94 | 425, 73% |
| Mannen et al[20], 2010 | Japan | Retrospective study | Gastric lesion | 71.6 ± 8.6, 36-91 | 323, 74.1% |
| Goto et al[13], 2010 | Japan | Retrospective study | Gastric lesion | 68.3 | 347, 76.4% |
| Witt et al[44], 2009 | United States | Retrospective cohort study | Colorectal lesion | 69.6 | 691, 56.4% |
| Ono et al[28], 2019 | Japan | Retrospective study | Gastric lesion | 67 | Unclear |
| Takizawa et al[26], 2008 | Japan | Retrospective study | Gastric lesion | 66 ± 10, 29-93 | 779, 80.5% |
| Sawhney et al[62], 2007 | United States | Retrospective study | Colorectal lesion | 65.1 | 169, 97.7% |
| Yousfi et al[43], 2004 | United States | Retrospective study | Gastrointestinal lesion | 70.5, 45-91 | 100, 61.7% |
Table 2 Number of cases with or without antithrombotic agents and hemorrhagic outcome
| Ref. | Resection method | Total | Drug | Post-bleeding | No bleeding |
| So et al[48], 2019 | ER | 1197 | Antithrombotic agent (+/-) | 40/50 | 359/748 |
| Continued antithrombotic agent (+/-) | 11/7 | 69/138 | |||
| Discontinued antithrombotic agent (+/-) | 29/43 | 330/657 | |||
| HR (+) | 5 | 9 | |||
| Kishida et al[45],2019 | Polypectomy | 6382 | Antithrombotic agent (+/-) | 15/40 | 986/5341 |
| Single APT (+) | 4 | 683 | |||
| Single anticoagulants (+) | 2 | 85 | |||
| Multiple APT (+) | 3 | 163 | |||
| Multiple antithrombotic agents (+) | 2 | 39 | |||
| Single antithrombotic agent (+) | 13 | 947 | |||
| HR (+) | 4 | 16 | |||
| Inoue et al[65], 2019 | EMR | 102 | VKA (+) | 12 | 73 |
| Discontinued VKA (+) | 0 | 4 | |||
| Continued VKA (+) | 0 | 2 | |||
| HR (+) | 15 | 98 | |||
| DOAC (+) | 3 | 14 | |||
| Discontinued DOAC (+) | 0 | 3 | |||
| Inoue et al[65], 2019 | ESD | 54 | VKA (+) | 14 | 31 |
| Discontinued VKA (+) | 1 | 2 | |||
| Continued VKA (+) | 0 | 1 | |||
| HR (+) | 13 | 31 | |||
| DOAC (+) | 2 | 7 | |||
| Discontinued DOAC (+) | 2 | 4 | |||
| Harada et al[56], 2019 | ESD | 597 | Antithrombotic agent (-) | 21 | 422 |
| Single-LDA (+) | 10 | 85 | |||
| DAPT (+) | 10 | 49 | |||
| Continued LDA (+) | 15 | 80 | |||
| Discontinued APT (+) | 5 | 54 | |||
| Arimoto et al[54], 2018 | ESD | 919 | Antithrombotic agent (-) | 26 | 757 |
| APT (+) | 5 | 131 | |||
| Discontinued APT (+) | 5 | 105 | |||
| Continued APT (+) | 0 | 26 | |||
| Azumi et al[39], 2018 | ESD | 438 | Antithrombotic agent (+/-) | 6/15 | 72/345 |
| Fujita et al[67], 2018 | EMR | 84 | Discontinued anticoagulants (+) | 1 | 42 |
| HR (+) | 4 | 37 | |||
| Horikawa et al[58], 2018 | ESD | 100 | Antithrombotic agent (-) | 1 | 49 |
| Continued LDA | 1 | 49 | |||
| Izumikawa et al[40], 2018 | ESD | 273 | Antithrombotic agent (+/-) | 15/11 | 66/207 |
| Kono et al[41], 2018 | ESD | 872 | Antithrombotic agent (+/-) | 23/38 | 159/652 |
| Single antithrombotic agent | 12 | 130 | |||
| Multiple antithrombotic agents (+) | 11 | 29 | |||
| Discontinued antithrombotic agent (+) | 8 | 120 | |||
| Discontinued | |||||
| Single APT (+) | 3 | 88 | |||
| Multiple APT (+) | 3 | 16 | |||
| Single anticoagulants (+) | 1 | 13 | |||
| Continued | |||||
| Single APT (+) | 1 | 16 | |||
| Multiple APT (+) | 4 | 2 | |||
| Single anticoagulants (+) | 7 | 13 | |||
| HR (+) | 10 | 21 | |||
| Oh et al[60], 2018 | ESD | 215 | Single APT (+) | 14 | 147 |
| Multiple APT (+) | 15 | 39 | |||
| LDA (+) | 12 | 82 | |||
| Thienopyridine (+) | 2 | 54 | |||
| Continued APT (+) | 23 | 130 | |||
| Discontinued APT (+) | 6 | 56 | |||
| Park et al[63], 2018 | Polypectomy | 3887 | APT (+) | 12 | 339 |
| Anticoagulants (+) | 0 | 15 | |||
| Sanomura et al[58], 2018 | ESD | 1243 | Antithrombotic agent (-) | 40 | 1127 |
| Anticoagulants (+) | 11 | 65 | |||
| Warfarin (+) | 5 | 32 | |||
| DOAC (+) | 4 | 14 | |||
| Seo et al[55], 2018 | ESD | 1189 | Antithrombotic agent (-) | 26 | 945 |
| APT (+) | 7 | 175 | |||
| Aspirin (+) | 2 | 139 | |||
| Warfarin (+) | 0 | 10 | |||
| DOAC (+) | 1 | 2 | |||
| Single antithrombotic agent (+) | 10 | 326 | |||
| Multiple antithrombotic agents (+) | 0 | 23 | |||
| Discontinued antithrombotic agent (+) | 7 | 206 | |||
| Continued antithrombotic agent (+) | 0 | 5 | |||
| Sakai et al[64], 2018 | Polypectomy | 1004 | Discontinued anticoagulants (+) | 12 | 0 |
| HR (+) | 8 | 70 | |||
| Warfarin (+) | 7 | 55 | |||
| DOAC (+) | 1 | 15 | |||
| Yamashita et al[36], 2018 | ESD | 650 | Antithrombotic agent (+/-) | 7/18 | 21/652 |
| Warfarin (+) | 5 | 14 | |||
| DOAC | 2 | 7 | |||
| Yanagisawa et al[35], 2018 | Polypectomy | 436 | Antithrombotic agent (+/-) | 30/2 | 188/216 |
| Discontinued anticoagulants (+) | 0 | 23 | |||
| Continued anticoagulants (+) | 10 | 83 | |||
| HR (+) | 20 | 82 | |||
| Continued warfarin (+) | 2 | 41 | |||
| Continued DOAC (+) | 8 | 42 | |||
| Warfarin (+) | 20 | 125 | |||
| DOAC (+) | 10 | 63 | |||
| Matsumoto et al[46], 2018 | Polypectomy | 1003 | Antithrombotic agent (+/-) | 2/2 | 184/815 |
| Harada et al[61], 2017 | ESD | 45 | Continued warfarin (+) | 2 | 20 |
| HR | 5 | 18 | |||
| Yano et al[33], 2017 | ESD | 144 | Antithrombotic agent (+/-) | 47/103 | 287/1330 |
| Ueki et al[14], 2017 | ESD | 364 | Antithrombotic agent (+/-) | 7/17 | 67/273 |
| Discontinued antithrombotic agent (-) | 7 | 67 | |||
| Discontinued single APT (+) | 4 | 57 | |||
| Discontinued single anticoagulants (+/-) | 2 | 4 | |||
| Aspirin (+) | 4 | 43 | |||
| Thienopyrindine (+) | 0 | 7 | |||
| Yoshio et al[78], 2017 | ESD | 97 | Warfarin (+) | 18 | 55 |
| DOAC | 5 | 19 | |||
| Gotoda et al[15], 2017 | ESD | 529 | Antithrombotic agent (+/-) | 12/14 | 96/407 |
| APT (+) | 8 | 80 | |||
| Single antithrombotic agent (+) | 6 | 80 | |||
| Multiple antithrombotic agents (+) | 7 | 17 | |||
| Single APT (+) | 3 | 69 | |||
| Multiple APT (+) | 5 | 11 | |||
| Warfarin (+) | 3 | 11 | |||
| Aspirin (+) | 2 | 33 | |||
| Thienopyridine (+) | 0 | 10 | |||
| Furuhata et al[17], 2017 | ESD | 1781 | Antithrombotic agent (+/-) | 33/68 | 220/1460 |
| Single antithrombotic agent (+) | 11 | 139 | |||
| Multiple antithrombotic agents (+) | 6 | 30 | |||
| Continued single APT (+) | 1 | 14 | |||
| HR (+) | 15 | 37 | |||
| Shibuya et al[1], 2017 | ESD | 259 | Antithrombotic agent (+/-) | 4/6 | 32/217 |
| Shibuya et al[1], 2017 | EMR | 3018 | Antithrombotic agent (+/-) | 16/15 | 510/2477 |
| Shibuya et al[1], 2017 | Polypectomy | 892 | Antithrombotic agent (+/-) | 3/5 | 163/721 |
| Bronsgeest et al[42], 2017 | EMR | Antithrombotic agent (+/-) | 13/15 | 107/277 | |
| APT (+) | 4 | 53 | |||
| Anticoagulants (+) | 4 | 43 | |||
| Ishigami et al[34], 2017 | ER | 773 | Antithrombotic agent (+/-) | 10/14 | 35/714 |
| HR (+) | 10 | 35 | |||
| Pigò et al[3], 2017 | Polypectomy | 609 | Antithrombotic agent (+/-) | 38/32 | 72/467 |
| Single APT | 14 | 57 | |||
| Multiple APT | 3 | 8 | |||
| HR (+) | 21 | 7 | |||
| Aspirin (+) | 10 | 32 | |||
| Thienopyridine | 4 | 25 | |||
| Kono et al[76], 2017 | ESD/EMR | 49 | Single antithrombotic agent (+) | 4 | 24 |
| Multiple antithrombotic agents (+) | 7 | 14 | |||
| Discontinued antithrombotic agent (+) | 5 | 20 | |||
| Continued antithrombotic agent (+) | 6 | 18 | |||
| HR (+) | 4 | 12 | |||
| Lin et al[75], 2017 | Polypectomy | 4923 | Aspirin (+) | 36 | 3897 |
| Thienopyridine (+) | 5 | 590 | |||
| Sato et al[38], 2017 | ESD | 2378 | Antithrombotic agent (+/-) | 46/76 | 401/1855 |
| APT (+) | 35 | 270 | |||
| Anticoagulants (+) | 2 | 33 | |||
| HR (+) | 6 | 33 | |||
| Aspirin (+) | 12 | 199 | |||
| Thienopyridine (+) | 0 | 19 | |||
| Warfarin (+) | 1 | 16 | |||
| DOAC (+) | 1 | 17 | |||
| Igarashi et al[27], 2017 | ESD | 976 | Antithrombotic agent (+/-) | 35/30 | 332/692 |
| Discontinued antithrombotic agent (+) | 26 | 250 | |||
| Continued antithrombotic agent (+) | 5 | 49 | |||
| HR | 4 | 33 | |||
| Multiple antithrombotic agents (+) | 9 | 70 | |||
| Single antithrombotic agent (+) | 26 | 262 | |||
| Continued aspirin (+) | 4 | 29 | |||
| Discontinue aspirin (+) | 19 | 152 | |||
| Continued thienopyridine (+) | 1 | 17 | |||
| Discontinued thienopyridine (+) | 9 | 63 | |||
| Continued anticoagulants (+) | 1 | 11 | |||
| Discontinued anticoagulants (+) | 3 | 27 | |||
| Amato et al[31], 2016 | ER | 2692 | Antithrombotic agent (+/-) | 16/16 | 595/2069 |
| APT (+) | 11 | 461 | |||
| Anticoagulants (+) | 5 | 134 | |||
| Kubo et al[32], 2016 | ER | 788 | Antithrombotic agent (+/-) | 16/13 | 194/565 |
| APT (+) | 8 | 146 | |||
| Anticoagulants (+) | 11 | 72 | |||
| HR (+) | 10 | 63 | |||
| Shindo et al[25], 2016 | ESD | 262 | Antithrombotic agent (+/-) | 10/13 | 38/201 |
| Discontinued antithrombotic agent (+) | 0 | 25 | |||
| Continued APT (+) | 2 | 8 | |||
| HR (+) | 8 | 5 | |||
| Yoshida et al[52], 2016 | ESD | 678 | Antithrombotic agent (-) | 10 | 585 |
| APT (+) | 3 | 60 | |||
| Anticoagulants (+) | 3 | 17 | |||
| Ninomiya et al[53], 2015 | ESD | 609 | Antithrombotic agent (-) | 28 | 537 |
| Discontinued APT (+) | 2 | 11 | |||
| Continued APT (+) | 5 | 26 | |||
| Al-Mammari et al[4], 2015 | EMR | 117 | Antithrombotic agent (+/-) | 1/1 | 14/101 |
| Odagiri et al[16], 2015 | ESD | 7567 | Antithrombotic agent (+/-) | 49/282 | 440/6796 |
| Namasivayam et al[5],2014 | EMR | 1712 | Antithrombotic agent (+/-) | 4/10 | 772/912 |
| APT (+) | 3 | 521 | |||
| Anticoagulants (+) | 0 | 89 | |||
| Single antithrombotic agent (+) | 1 | 617 | |||
| Multiple antithrombotic agents (+) | 3 | 111 | |||
| Thienopyridine (+/-) | 0/10 | 17/912 | |||
| Terasaki et al[21], 2014 | ESD | 363 | Antithrombotic agent (+/-) | 4/20 | 36/303 |
| Tounou et al[50], 2014 | ESD | 350 | Antithrombotic agent (-) | 16 | 245 |
| Discontinued single APT (+) | 7 | 37 | |||
| Continued single APT (+) | 2 | 12 | |||
| Dual APT (+) | 11 | 20 | |||
| Aspirin (+) | 9 | 44 | |||
| Thienopyridine (+) | 0 | 5 | |||
| Suzuki et al[18], 2014 | ESD | 317 | Antithrombotic agent (+/-) | 1/13 | 27/276 |
| HR | 0 | 6 | |||
| Matsumura et al[23], 2014 | ESD | 425 | Antithrombotic agent (+/-) | 10/10 | 77/328 |
| Discontinued antithrombotic agent (+) | 2 | 39 | |||
| Continued antithrombotic agent (+), HR (-) | 3 | 22 | |||
| HR (+) | 5 | 16 | |||
| Beppu et al[74], 2014 | ER | 208 | APT (+) | 9 | 18 |
| Anticoagulants (+) | 12 | 9 | |||
| Aspirin (+) | 6 | 11 | |||
| Thienopyridine (+) | 3 | 7 | |||
| Inoue et al[77], 2014 | Polypectomy | 117 | Discontinued antithrombotic agent (+) | 1 | 71 |
| HR (+) | 9 | 36 | |||
| Sanomura et al[66], 2014 | ESD | 78 | Continued LDA (+) | 1 | 27 |
| Discontinued LDA (+) | 3 | 63 | |||
| Yoshio et al[47], 2013 | ESD | 1250 | Antithrombotic agent (-) | 45 | 972 |
| Discontinued antithrombotic agent (-) | 12 | 197 | |||
| HR (+) | 9 | 15 | |||
| Takeuchi et al[29], 2013 | ESD | 833 | Antithrombotic agent (+/-) | 21/15 | 69/728 |
| Koh et al[37], 2013 | ESD | 1166 | Antithrombotic agent (+/-) | 17/45 | 158/946 |
| Mukai et al[6], 2012 | ESD | 161 | Antithrombotic agent (+/-) | 4/17 | 29/111 |
| Lim et al[51], 2012 | ESD | 1591 | Antithrombotic agent (-) | 68 | 1249 |
| Discontinued APT (+) | 6 | 96 | |||
| Continued APT (+) | 20 | 152 | |||
| Miyahara et al[48], 2012 | ESD | 1082 | Antithrombotic agent (-) | 68 | 883 |
| Discontinued antithrombotic agent (+) | 7 | 124 | |||
| Cho et al[57], 2012 | ESD | 514 | Antithrombotic agent (-) | 15 | 424 |
| Discontinued APT (+) | 2 | 54 | |||
| Continued APT (+) | 4 | 15 | |||
| Toyokawa et al[24], 2011 | ESD | 1123 | Antithrombotic agent (+/-) | 8/48 | 175/892 |
| Higashiyama et al[19], 2011 | ESD | 924 | Antithrombotic agent (+/-) | 123/773 | 3/25 |
| Metz et al[2], 2011 | EMR | 269 | Antithrombotic agent (+/-) | 8/11 | 30/220 |
| APT (+) | 6 | 18 | |||
| Anticoagulants (+) | 1 | 10 | |||
| HR (+) | 1 | 2 | |||
| Aspirin (+) | 5 | 12 | |||
| Thienopyridine (+) | 1 | 6 | |||
| Tokioka et al[30], 2011 | ESD | 515 | Antithrombotic agent (+/-) | 3/23 | 37/452 |
| Okada et al[22], 2011 | ESD | 582 | Antithrombotic agent (+/-) | 4/24 | 70/484 |
| Mannen et al[20], 2010 | ESD | 436 | Antithrombotic agent (+/-) | 1/38 | 32/365 |
| Goto et al[13],2010 | ESD | 454 | Antithrombotic agent (+/-) | 5/21 | 52/376 |
| Witt et al[44], 2009 | Polypectomy | 1225 | Antithrombotic agent (+/-) | 11/2 | 414/798 |
| Ono et al[28], 2019 | ESD | 444 | Antithrombotic agent (+/-) | 6/20 | 50/368 |
| Takizawa et al[26], 2008 | ESD | 968 | Antithrombotic agent (+/-) | 3/60 | 74/831 |
| Sawhney et al[62], 2007 | Polypectomy | 173 | APT (+) | 17 | 51 |
| Anticoagulants (+) | 14 | 12 | |||
| Yousfi et al[43], 2004 | Polypectomy | 162 | Antithrombotic agent (+/-) | 32/49 | 27/54 |
| APT (+) | 32 | 27 |
Table 3 The quality assessment of included studies
| Ref. | Selection | Comparability | Outcome/exposure | Stars | |||||
| 1 | 2 | 3 | 4 | 1 | 2 | 3 | |||
| So et al[49], 2019 | * | * | * | * | ** | * | * | * | 9 |
| Kishida et al[45], 2019 | * | * | * | * | * | * | 6 | ||
| Inoue et al[65], 2019 | * | * | * | ** | * | * | * | 8 | |
| Harada et al[56], 2019 | * | * | * | ** | * | * | * | 8 | |
| Arimoto et al[54], 2018 | * | * | * | * | * | * | * | * | 8 |
| Azumi et al[39], 2018 | * | * | * | ** | * | * | * | 8 | |
| Fujita et al[67], 2018 | * | * | * | ** | * | * | * | 8 | |
| Horikawa et al[58], 2018 | * | * | * | ** | * | * | * | 8 | |
| Izumikawa et al[40], 2018 | * | * | * | * | * | * | 6 | ||
| Kono et al[41], 2018 | * | * | * | * | * | * | * | 7 | |
| Oh et al[60], 2018 | * | * | * | * | * | * | 6 | ||
| Park et al[63], 2018 | * | * | * | ** | * | * | * | 8 | |
| Sanomura et al[59], 2018 | * | * | * | * | * | * | * | 7 | |
| Seo et al[55], 2018 | * | * | * | * | * | * | * | * | 8 |
| Sakai et al[64], 2018 | * | * | * | * | * | * | * | 7 | |
| Yamashita et al[36], 2018 | * | * | * | * | * | * | * | 7 | |
| Yanagisawa et al[35], 2018 | * | * | * | ** | * | * | * | 8 | |
| Matsumoto et al[46], 2018 | * | * | * | * | * | * | 6 | ||
| Harada et al[61], 2017 | * | * | * | * | * | * | * | 7 | |
| Yano et al[33], 2017 | * | * | * | * | * | * | * | 7 | |
| Ueki et al[14], 2017 | * | * | * | * | * | * | * | 7 | |
| Yoshio et al[78], 2017 | * | * | * | * | * | * | * | * | 8 |
| Gotoda et al[15], 2017 | * | * | * | * | * | * | 6 | ||
| Furuhata et al[17], 2017 | * | * | * | ** | * | * | * | 8 | |
| Shibuya et al[1], 2017 | * | * | * | ** | * | * | * | 8 | |
| Bronsgeest et al[42], 2017 | * | * | * | * | * | * | * | * | 8 |
| Ishigami et al[34], 2017 | * | * | * | * | * | * | * | 7 | |
| Pigò et al[3], 2017 | * | * | * | * | * | * | * | 7 | |
| Kono et al[76], 2017 | * | * | * | * | * | * | * | * | 8 |
| Lin et al[75], 2017 | * | * | * | * | * | * | * | 7 | |
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- Citation: Xiang BJ, Huang YH, Jiang M, Dai C. Effects of antithrombotic agents on post-operative bleeding after endoscopic resection of gastrointestinal neoplasms and polyps: A systematic review and meta-analysis. World J Meta-Anal 2020; 8(5): 411-434
- URL: https://www.wjgnet.com/2308-3840/full/v8/i5/411.htm
- DOI: https://dx.doi.org/10.13105/wjma.v8.i5.411
