Clin Endosc.  2015 Mar;48(2):102-105. 10.5946/ce.2015.48.2.102.

Endoscopic Management of Mallory-Weiss Tearing

Affiliations
  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea. dshskim@jnu.ac.kr

Abstract

Mallory-Weiss tearing (MWT) is a common cause of non-variceal upper gastrointestinal bleeding. Although the majority of patients with bleeding MWT require no intervention other than hemodynamic supports, spectrum of MWT is wide, and the condition sometimes results in a fatal outcome. Endoscopic management to stop the bleeding may be required during the index endoscopy, especially in those with active bleeding or stigmata of recurrent bleeding. Most commonly used endoscopic treatment for actively bleeding MWT is injection therapy, argon plasma coagulation, hemoclip placement, and band ligation. Selection of the optimal endoscopic hemostasis depends on the physician's ability and patient's clinical status.

Keyword

Mallory-Weiss; Endoscopy; Therapeutics

MeSH Terms

Argon Plasma Coagulation
Christianity
Endoscopy
Fatal Outcome
Hemodynamics
Hemorrhage
Hemostasis, Endoscopic
Humans
Ligation
Mallory-Weiss Syndrome*

Figure

  • Fig. 1 Endoscopic treatment of Mallory-Weiss tearing. (A) Injection therapy. (B) Band ligation. (C) Hemoclipping.


Cited by  2 articles

Guidelines for Non-variceal Upper Gastrointestinal Bleeding
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Korean J Gastroenterol. 2020;75(6):322-332.    doi: 10.4166/kjg.2020.75.6.322.

십이지장스텐트 삽입 중 발생한 위천공
Sung Woo Ko, Hoonsub So, Sung Jo Bang
Korean J Gastroenterol. 2022;80(5):221-224.    doi: 10.4166/kjg.2022.060.


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