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Surgical Endoscopy

Published in:

01-09-2006

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

Authors: N. Higuchi, K. Akahoshi, Y. Sumida, M. Kubokawa, Y. Motomura, M. Kimura, M. Matsumoto, K. Nakamura, H. Nawata

Published in: Surgical Endoscopy | Issue 9/2006

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.

Abi-Hanna D, Williams SJ, Gillespie PE, Bourke MJ (1998) Endoscopic band ligation for nonvariceal nonulcer gastrointestinal hemorrhage. Gastrointest Endosc 48: 510–514PubMedCrossRef

Akahoshi K, Yoshinaga S, Fujimaru T, Harada N, Nawata H (2003) Hypertonic saline–epinephrine injection plus endoscopic band ligation therapy for gastric Dieulafoy’s lesion. J Gastroenterol 38: 911–912PubMedCrossRef

Bataller R, Llach J, Salmeron JM, Elizalde JI, Mas A, Pique JM, Brullet E, Teres J, Bordas JM, Rodes J (1994) Endoscopic sclerotherapy in upper gastrointestinal bleeding due to the Mallory–Weiss syndrome. Am J Gastroenterol 89: 2147–2150PubMed

Brown GR, Harford WV, Jones WF (1994) Endoscopic band ligation of an actively bleeding Dieulafoy lesion. Gastrointest Endosc 40: 501–503PubMed

Campo R, Brullet E (1996) Endoscopic treatment of gastric angiodysplasia with elastic band ligation. Gastrointest Endosc 43: 502–504PubMedCrossRef

Chung IK, Kim EJ, Hwang KY, Kim IH, Kim HS, Park SH, Lee MH, Kim SJ (2002) Evaluation of endoscopic hemostasis in upper gastrointestinal bleeding related to Mallory–Weiss syndrome. Endoscopy 34: 474–479PubMedCrossRef

Cipolletta L, Bianco MA, Rotondano G, Piscopo R, Prisco A, Garofano ML (1998) Prospective comparison of argon plasma coagulator and heater probe in the endoscopic treatment of major peptic ulcer bleeding. Gastrointest Endosc 48: 191–195PubMedCrossRef

Gevers AM, De Goede E, Simoens M, Hiele M, Rutgeerts P (2002) A randomized trial comparing injection therapy with hemoclip and with injection combined with hemoclip for bleeding ulcers. Gastrointest Endosc 55: 466–469PubMedCrossRef

Gunay K, Cabioglu N, Barbaros U, Taviloglu K, Ertekin C (2001) Endoscopic ligation for patients with active bleeding Mallory–Weiss tears. Surg Endosc 15: 1305–1307PubMedCrossRef

10.

Hajiro K, Yamamoto H, Matsui H, Tsujimura D, Yamamoto T, Hirooka T, Todo A (1984) Endoscopic bipolar electrocoagulation in upper gastrointestinal bleeding. Endoscopy 16: 6–9PubMed

11.

Haung SP, Wong AP, Lee YE, Lin CC, Yang CS, Wu MS, Lin JT (2002) Endoscopic hemoclip placement and epinephrine injection for Mallory-Weiss Syndrome with active bleeding. Gastrointest Endosc 55: 842–846CrossRef

12.

Hurlstone DP (2002) Successful endoscopic haemoclipping in Mallory–Weiss syndrome with concurrent closure of oesophageal perforation: further prospective evaluation of the technique is required. Scand J Gastroenterol 37: 866PubMed

13.

Katz PO, Salas L (1993) Less frequent causes of upper gastrointestinal bleeding. Gastroenterol Clin North Am 22: 875–889PubMed

14.

Laine L, Cook D (1995) Endoscopic ligation compared with sclerotherapy for treatment of esophageal variceal bleeding: a meta-analysis. Ann Intern Med 123: 280–287PubMed

15.

Mallorg GK, Weiss S (1929) Hemorrhages from locerations of the Cardiac orifice of the stomach due to vomiting. Am J Med Sci 178: 506–512

16.

Matsui S, Kamisako T, Kudo M, Inoue R (2002) Endoscopic band ligation for control of nonvariceal upper GI hemorrhage: comparison with bipolar electrocoagulation. Gastrointest Endosc 55: 214–218PubMedCrossRef

17.

Morales P, Baum AE (2003) Therapeutic alternatives for the Mallory-Weiss tear. Curr Treatment Options Gastroenterol 6: 75–83

18.

Myung SJ, Kim HR, Moon YS (2000) Severe Mallory–Weiss tear after endoscopy treated by endoscopic band ligation. Gastrointest Endosc 52: 99–101PubMedCrossRef

19.

Park CH, Min SW, Sohn YH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ (2004) A prospective, randomized trial of endoscopic band ligation vs epinephrine injection for actively bleeding Mallory–Weiss syndrome. Gastrointest Endosc 60: 22–27PubMedCrossRef

20.

Peng YC, Tung CF, Chow WK, Chang CS, Chen GH, Hu WH, Yang DY (2001) Efficacy of endoscopic isotonic saline–epinephrine injection for the management of active Mallory–Weiss tears. J Clin Gastroenterol 32: 119–122PubMedCrossRef

21.

Quincke H (1879) Ulcus oesophageal ex digestion. Dtsch Arch Klin Med 24: 72

22.

Slivka A, Parsons WG, Carr-Locke DL (1994) Endoscopic band ligation for treatment of postpolypectomy hemorrhage. Gastrointest Endosc 40: 230–232PubMedCrossRef

23.

Stiegmann GV, Goff JS (1988) Endoscopic esophageal varix ligation: preliminary clinical experience. Gastrointest Endosc 34: 113–117PubMedCrossRef

24.

Stiegmann GV, Goff JS, Michaletz-Onody PA, Korula J, Lieberman D, Saeed ZA, Reveille RM, Sun JH, Lowenstein SR (1992) Endoscopic sclerotherapy as compared with endoscopic ligation for bleeding esophageal varices. N Engl J Med 326: 1527–1532PubMedCrossRef

25.

Sugawa C, Fujita Y, Ikeda T, Walt AJ (1986) Endoscopic hemostasis of bleeding of the upper gastrointestinal tract by local injection of ninety-eight per cent dehydrated ethanol. Surg Gynecol Obstet 162: 159–163PubMed

26.

Terada R, Ito S, Akama F, Kidogawa H, Kashima K, Yamayoshi T, Ooe H (2000) Mallory–Weiss syndrome with severe bleeding: treatment by endoscopic ligation. Am J Emerg Med 18: 812–815PubMedCrossRef

Title: Endoscopic band ligation therapy for upper gastrointestinal bleeding related to Mallory–Weiss syndrome
Authors: N. Higuchi
K. Akahoshi
Y. Sumida
M. Kubokawa
Y. Motomura
M. Kimura
M. Matsumoto
K. Nakamura
H. Nawata
Publication date: 01-09-2006
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 9/2006
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-005-0608-5

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Springer Medicine

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

Abstract

Background

Methods

Results

Conclusions

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Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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