title: Mallory-Weiss syndrome with severe bleeding: treatment by endoscopic ligation.
abstract: 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.
authors: Department of Surgery and Critical Care Medicine, Kitakyusyu City Yahata Hospital, Fukuoka, Japan. TE0403@aol.com
authors: R
authors: R
authors: Terada
authors: S
authors: S
authors: Ito
authors: F
authors: F
authors: Akama
authors: H
authors: H
authors: Kidogawa
authors: K
authors: K
authors: Kashima
authors: T
authors: T
authors: Yamayoshi
authors: H
authors: H
authors: Ooe
mesh_terms: D000328:Adult; D004632:Emergency Medical Services; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000601:surgery*; D006801:Humans; D008026:Ligation; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000473:pathology / Q000601:surgery*; D008875:Middle Aged; D016896:Treatment Outcome