[The place of endoscopic treatment in other causes of upper gastrointestinal haemorrhage].
IN MALLORY-WEISS SYNDROME: With fissuring of the cardial area, probably subsequent to a rapid increase in intra-gastric pressure, hemorrhagic Mallory-Weiss syndrome may justify haemostatic endoscopic treatment. However, one should not forget that the majority of these syndromes usually regress spontaneously. IN DIEULAFOY'S ULCERS: Loss of substance destroying the muscle mucosa, Dieulafoy's ulcer would be at the origin of around 2% of upper gastrointestinal haemorrhages. Initial haemostasis can be obtained using endoscopic treatment in 85% of cases. The mechanical methods (clips, elastic ligature) are probably more effective than injections, but they are still under assessment.
Lesur
Gilles
G
Service d'hépato-gastroentérologie, Hôpital Ambroise Paré, 92104 Boulogne Cedex.
D000208:Acute Disease; D004564:Electrocoagulation; D005753:Gastric Mucosa / Q000002:abnormalities*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006801:Humans; D007413:Intestinal Mucosa / Q000002:abnormalities*; D008309:Mallory-Weiss Syndrome / Q000150:complications*; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D012307:Risk Factors; D012597:Sclerosing Solutions / Q000008:administration & dosage; D013276:Stomach Ulcer / Q000150:complications* / Q000209:etiology; D013577:Syndrome
D012597:Sclerosing Solutions