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Endoscopic ligation for patients with active bleeding Mallory-Weiss tears
K Gunay1, N Cabioglu, U Barbaros
1Emergency Surgery Service, Department of General Surgery, Istanbul Medical School, University of Istanbul, Capa Istanbul 34390, Turkey.
Surgical Endoscopy
|December 1, 2001
Summary
Endoscopic band ligation effectively treated active bleeding Mallory-Weiss tears in four patients, achieving complete hemostasis without complications. This minimally invasive approach offers a safe and successful option for managing upper gastrointestinal bleeding.
Area of Science:
- Gastroenterology
- Endoscopic interventions
- Gastrointestinal bleeding management
Background:
- Nonesophageal variceal upper gastrointestinal bleeding is challenging to treat.
- Endoscopic ligation is infrequently used for active bleeding Mallory-Weiss tears (MWTs).
- This study presents four cases of MWTs treated with endoscopic band ligation.
Observation:
- Four patients with active bleeding MWTs underwent endoscopic ligation.
- One patient with massive bleeding and MWT received band ligation after failed injection therapy.
- Another patient with fibrotic tissue MWT and multiple myeloma required injection therapy after failed ligation.
Findings:
- All patients achieved complete hemostasis after endoscopic ligation.
- No rebleeding or complications like perforation or delayed hemorrhage were observed.
- Patients were discharged without complications following control endoscopy.
Implications:
- Endoscopic ligation is a safe and effective treatment for active bleeding nonfibrotic MWTs.
- The technique is easily performed and associated with minimal complications.
- This supports endoscopic band ligation as a viable therapeutic option for specific MWT cases.