title: [A rare complication of ERCP: Mallory-Weiss syndrome].
abstract: OBJECTIVE
  To describe the management and outcome after endoscopic treatment of hematemesis by Mallory-Weiss Syndrome (MWS) occurred after CPRE (suspected choledocolithiasis).
  
  
  BACKGROUND
  Although cough and retching is common during EGD or CPRE, MWS resulting from endoscopy seems to be uncommon (0.0001-0.04%) and always self-limiting.
  
  
  METHODS
  The patient was submitted to CPRE with the suspicion of choledocholithiasis. Eight hours after CPRE the patient presented with hematemesis and hypotension. With emergency EGD, the AA identified a small bleeding mucosal tear (visible vessel with spurting) just proximal to the esophagogastric junction. The patient was safely treated with endoscopic hemoclipping after the failure of sclerotherapy.
  
  
  CONCLUSIONS
  The usefulness of hemoclipping in MWS is emphasized: although always self-limiting, endoscopic hemostasis is mandatory in high risk patients. The hemoclips are effective and safe in hemostasis in the case of bleeding visible vessel (spurting or oozing), even with or after sclerotherapy. The hemoclips not obstacles the healing.
authors.affiliation: Università degli Studi di Palermo, Dipartimento di Chirurgia Generale, d'Urgenza e dei Trapianti d'Organo, Sezione di Chirurgia Generale ad Indirizzo Toracico. carmesci@hotmail.com
authors.forename: Carmelo
authors.initials: C
authors.lastname: Sciumè
authors.forename: Girolamo
authors.initials: G
authors.lastname: Geraci
authors.forename: Franco
authors.initials: F
authors.lastname: Pisello
authors.forename: Francesco
authors.initials: F
authors.lastname: Li Volsi
authors.forename: Tiziana
authors.initials: T
authors.lastname: Facella
authors.forename: Michele
authors.initials: M
authors.lastname: Frazzetta
authors.forename: Dario
authors.initials: D
authors.lastname: Raimondo
authors.forename: Paolo
authors.initials: P
authors.lastname: Passariello
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Modica
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000009:adverse effects*; D005500:Follow-Up Studies; D006396:Hematemesis / Q000209:etiology* / Q000628:therapy*; D016558:Hemostasis, Endoscopic; D006801:Humans; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000209:etiology*; D013997:Time Factors; D016896:Treatment Outcome