Endoscopic band ligation therapy for upper gastrointestinal bleeding related to Mallory–Weiss syndrome

Abstract

The study results suggest that endoscopic band ligation is an effective, safe, and easily learned procedure for treating upper gastrointestinal bleeding related to Mallory-Weiss syndrome.

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

“…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] . Our study also demonstrated high successful rates of primary and permanent hemostasis in such cases.…”

Risk Factors for an Iatrogenic Mallory-Weiss Tear Requiring Bleeding Control during a Screening Upper Endoscopy

“…Bleeding from MWTs can typically be managed by endoscopic hemostasis, and various methods, such as hemoclipping [5, 14–16], band ligation [12, 13, 18, 19], injection therapy [5, 12, 14], electrocoagulation [19, 20], and selective arterial embolization [21, 22], produce high rates of bleeding control without complications. One report that used hemoclips to treat iatrogenic MWTs showed a 100% bleeding control rate without rebleeding or complications [11].…”

Endoscopic band ligation could decrease recurrent bleeding in Mallory–Weiss syndrome as compared to haemostasis by hemoclips plus epinephrine

“…compared the efficacy of band ligation and hemoclip placement in patients with bleeding MWS and found that the two procedures were equivalent for primary haemostasis (100%) and rebleeding rate (6% vs. 10%) 12 . Two other noncontrolled studies validated the use of hemoclips on one hand and band ligation on the other hand for the treatment of bleeding MWS with a primary haemostasis of 100% except for one patient, and no recurrent bleeding 13, 14 . Thus, in literature, hemoclipping and band ligation appear to be safe and effective for the haemostasis of bleeding MWS.…”