Endoscopic Band Ligation Therapy for Upper Gastrointestinal Bleeding Related to Mallory-Weiss Syndrome

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2006 May 17

PMID 16703428

Citations 5

Authors

N Higuchi

K Akahoshi

Y Sumida

M Kubokawa

Y Motomura

M Kimura

M Matsumoto

K Nakamura

H Nawata

Affiliations

Soon will be listed here.

Abstract

Background: No consensus exists as to the best endoscopic treatment for Mallory-Weiss syndrome. Endoscopic band ligation is a readily available and easily learned technique. This prospective study evaluated the efficacy and safety of endoscopic band ligation therapy for Mallory-Weiss syndrome.

Methods: From August 1998 to June 2005, a clinical trial assessed 37 patients with a diagnosis of Mallory-Weiss syndrome who had active bleeding, exposed vessels, or both. Their lesions were treated using endoscopic band ligation.

Results: Endoscopic band ligation was successful in 36 of 37 cases, with a follow-up period ranging from 1 to 24 months. The remaining patient had severe liver failure and disseminated intravascular coagulation. The patient bled again at 12 h and subsequently died. Except for this case, no recurrent bleeding, perforation, or other complications occurred.

Conclusions: 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.

Citing Articles

Endoscopic management and outcome of non-variceal bleeding in patients with liver cirrhosis: A systematic review.

Demetiou G, Augoustaki A, Kalaitzakis E World J Gastrointest Endosc. 2022; 14(3):163-175.

PMID: 35432740 PMC: 8984531. DOI: 10.4253/wjge.v14.i3.163.

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

Na S, Ahn J, Jung K, Lee J, Kim D, Choi K Gastroenterol Res Pract. 2017; 2017:5454791.

PMID: 28348579 PMC: 5350415. DOI: 10.1155/2017/5454791.

Non-variceal gastrointestinal bleeding in patients with liver cirrhosis: a review.

Kalafateli M, Triantos C, Nikolopoulou V, Burroughs A Dig Dis Sci. 2012; 57(11):2743-54.

PMID: 22661272 DOI: 10.1007/s10620-012-2229-x.

Endoscopic band ligation for nonvariceal bleeding: a review.

Zepeda-Gomez S, Marcon N Can J Gastroenterol. 2008; 22(9):748-52.

PMID: 18818787 PMC: 2661278. DOI: 10.1155/2008/165264.

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

Cho Y, Chae H, Kim H, Kim J, Kim B, Kim S World J Gastroenterol. 2008; 14(13):2080-4.

PMID: 18395910 PMC: 2701530. DOI: 10.3748/wjg.14.2080.

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