Mallory-Weiss syndrome with severe bleeding: Treatment by endoscopic ligation

There is no consensus as to the best treatment for Mallory-Weiss tears with severe bleeding. Endoscopic ligation is an inexpensive, readily available, and easily learned technique, in contrast to conventional thermocoagulation or hemoclipping. To evaluate the utility of endoscopic ligation, we perfo...

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Bibliographic Details
Published in:The American journal of emergency medicine 2000-11, Vol.18 (7), p.812-815
Main Authors: Terada, Ryusuke, Ito, Shigehiko, Akama, Fumitaka, Kidogawa, Hideo, Kashima, Kiyotaka, Yamayoshi, Takatomo, Ooe, Hisakuni
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Emergency Medical Services
Endoscopy, Gastrointestinal - methods
Esophagus
Gastrointestinal Hemorrhage - surgery
Humans
Ligation
Male
Mallory-Weiss Syndrome - pathology
Mallory-Weiss Syndrome - surgery
Medical sciences
Middle Aged
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Treatment Outcome
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Summary:There is no consensus as to the best treatment for Mallory-Weiss tears with severe bleeding. Endoscopic ligation is an inexpensive, readily available, and easily learned technique, in contrast to conventional thermocoagulation or hemoclipping. To evaluate the utility of endoscopic ligation, we performed this technique during emergency endoscopy to treat severe bleeding from Mallory-Weiss tears in four patients in our hospital with continuous active bleeding from Mallory-Weiss tears. The patients were all male with an average age of 40.5 years. Symptoms associated with increased intra-abdominal pressure, including retching and vomiting were reported by all patients. The bleeding points were aspirated and controlled by endoscopic ligation, and complete hemostasis was achieved in all cases. We conclude that endoscopic ligation is easy to perform and may provide an alternative treatment for severe bleeding from Mallory-Weiss tears. (Am J Emerg Med 2000;18:812-815.
ISSN:0735-6757
1532-8171
DOI:10.1053/ajem.2000.18121