The Usefulness of Endoscopic O-ring Band Ligation in the Management of Mallory - Weiss Syndrome

Shim, Chan Sup; Lee, Joon Seong; Lee, Moon Sung; Cho, Joo Young; Cho, Young Deok; Lee, Young Hong; Bong, Hyung Keun; Kim, Jin Oh; Kim, Yun Soo; Hwang, Seong Gyu; Cha, Sang Woo; Cheon, Gab Jin

Abstract

Mallory-Weiss syndrome is a laceration in the region of the gastroesophageal junction due to vomiting, retching, coughing preceding hematemesis in alcoholic patient. Bleeding from Malloly-Weise tears stop spontaneously without specific therapy in 80-90% of patient, but rebleeding occurs in 2 to 5% of patients. Thus most patients require only supportive care. Rarely endoscopic therapy or operative therapy may be required. We performed endoscopic mucosal ligation using intraluminal negative pressure with band ligation for uncontrolled Mallory-Weiss syndrome. In conclusion, Endoscopic O-ring band ligation in uncontrolled intractable Mallory-Weiss syndrome is safe and effective method, but its important that accurate endoscopic O-ring band ligation an bleeding site in laceration area. We experienced endoscopic O-ring band ligation in 6 cases of Mallory-Weiss syndrome.