A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome

Park, Chang-Hwan; Min, Sang-Woon; Sohn, Young-Hae; Lee, Wan‐Sik; Joo, Young‐Eun; Kim, Hyunsoo; Choi, Sung‐Kyu; Rew, Jong Sun; Kim, Sei-Jong

doi:10.1016/s0016-5107(04)01284-2

Cited by 66 publications

(40 citation statements)

References 21 publications

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“…EBL, commonly used in variceal bleeding, has also been used to treat nonvariceal bleeding [8] . EBL is technically easier to perform than other methods, with the lesions well viewed under direct pressure and suction from the transparent ligation cap [20] . The use of EBL for treatment of patients with bleeding MWS has been described in several studies [13][14][15]18,20,24] .…”

Section: Peer Reviewmentioning

confidence: 99%

“…However, injection hemostasis may be incomplete for patients with a large and/or long plexuses of vessels and coagulation has the risk of producing transmural injury and perforation due to relatively thin esophageal wall [13] . Mechanical www.wjgnet.com endoscopic methods have recently become one of the therapeutic options for treating patients with actively bleeding MWS [13][14][15][16][17][18][19][20] . Among the mechanical methods, endoscopic band ligation (EBL) and endoscopic hemoclip placement (EHP) both has merits and problems related to the hemostatic mechanism and technical procedure itself.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Cho¹,

Chae²,

Kim³

et al. 2008

WJG

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Section: Peer Reviewmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Cho¹,

Chae²,

Kim³

et al. 2008

WJG

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“…Park et al 16 in their study found no difference in the efficacy or the safety of band ligation vs. epinephrine injection for the treatment of actively bleeding MWT. Huang et al 17 have described that endoscopic hemoclipping placement and endoscopic epinephrine injection are equally effective and safe for management of actively bleeding in Mallory -Weiss tear, even in patients with shock or comorbid diseases.…”

Section: 11mentioning

confidence: 88%

Clinical and endoscopic profile of patients with Mallory- Weiss tears

et al. 2017

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Background: Mallory-Weiss tear is mainly located across the gastro-esophageal mucosal junction and presents with upper gastro-intestinal bleed of less severity. Haemorrhage frequently ceases spontaneously. Aims and Objective: This study was undertaken to establish the incidence, clinical and endoscopic profile of patients with Mallory-Weiss tear. Materials and Methods: Six hundred patients presenting with acute upper gastrointestinal (UGI) bleed were included in the study. All patients underwent UGI endoscopy after achieving haemodynamic stability, usually within 24 hours. Cases with Mallory Weiss tear were identified and their clinical presentation, endoscopic findings, outcomes during hospitalization including rebleeding and mortality were studied. Results: Twenty eight (4.6%) patients out of six hundred acute upper gastro-intestinal bleed were diagnosed with Mallory-Weiss tear. Fourteen (50%) patients gave history of prior vomiting or preceeding retching. Only two patients (7.1%) presented with shock. The most common co-morbid condition was excessive alcohol consumption. Eighteen (64.3%) patients had no active bleeding during UGI endoscopy. All patients except four presented with a single tear with mean length of two cms. Blood transfusion was needed in eight (28.6%) patients only. Only one patient had re-bleeding. Average hospital admission was three days. No mortality was recorded in 7 days and 28 days of follow ups. Conclusions: Mallory-Weiss tear is not an uncommon cause of UGI bleeding nowadays and its incidence is rising every year. Hemorrhage frequently ceases spontaneously and conservative management is sufficient in many instances. When endoscopic findings reveal active haemorrhage, various endoscopic hemostatic techniques can be used.

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“…For patients with MWS, the reported rates of primary hemostasis obtained with epinephrine injection range from 93% to 100%. However, bleeding recurs in 5.8% to 44% of patients with actively bleeding MWS (10,11). Furthermore, in thermal endoscopic therapy, endoscopists have to be careful to manage the relatively thin esophageal wall and few fibrotic bases in patients with MWS.…”

Section: Discussionmentioning

confidence: 99%

Mallory-Weiss sendromunun argon plazma koagülasyonu ile tedavisi

Bektaş¹,

Korkut²,

İdilman³

et al. 2015

Endoskopi Gastrointestinal

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Endoskopik hemostaz metotlar› Mallory-Weiss Sendromuna ba¤l› üst gastrointestinal kanamalarda güvenli ve etkin bir yaklafl›m olarak kabul edilmektedir. Kronik öksürü¤ü olan 62 yafl›ndaki bir erkek hasta ve 27 yafl›nda 10 haftal›k gebe hasta klini¤imize ciddi hematemez bulgular›yla baflvurdu. Bu hastalara üst gastrointestinal endoskopi uyguland› ve Mallory Weiss sendromu tan›s› kondu. ‹fllem s›ras›nda koagülum ve visible vessel görüldü ve bu lezyonlara argon plazma koagülasyonu uyguland›. Argon plazma koagülasyonu sonras›nda tam bir kanama kontrolü sa¤land› ve takipte kanama tekrarlamad›. Sonuç olarak argon plazma koagülasyonu aktif kanayan non fibrotik Mallory-Weis sendromu olan hastalarda gecikmifl hemoraji ve perforasyon gibi minimal komplikasyon riskiyle kolayl›kla uygulanabilir. Anahtar kelimeler: Argon plazma koagülasyon, Mallory-Weiss sendromuThe endoscopic hemostatic method has been introduced as a safe and effective mechanical approach to hemostasis for upper gastrointestinal bleeding related to Mallory-Weiss syndrome. A 62-year-old male patient with chronic cough and a 27-year-old 10-week pregnant female were admitted to our clinic with gross hematemesis. Upper gastrointestinal endoscopy was performed and Mallory-Weiss syndrome was diagnosed. Coagulum and visible vessels were observed during the procedure. Argon plasma coagulation was applied. After argon plasma coagulation, complete hemostasis was achieved and rebleeding did not occur. In conclusion, argon plasma coagulation can be performed easily and with minimum risk of complications such as perforation or delayed hemorrhage in patients with actively bleeding non-fibrotic Mallory-Weiss syndrome.

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A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome

Cited by 66 publications

References 21 publications

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Clinical and endoscopic profile of patients with Mallory- Weiss tears

Mallory-Weiss sendromunun argon plazma koagülasyonu ile tedavisi

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