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Endoscopic management of mallory-weiss tearing

Hyun-Soo Kim1

  • 1Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.

Clinical Endoscopy
|April 7, 2015
PubMed

Insights

Mallory-Weiss tearing (MWT) is a frequent cause of upper gastrointestinal bleeding. While many cases resolve with supportive care, severe bleeding may necessitate endoscopic interventions like injection therapy or hemoclips.

Area of Science:

  • Gastroenterology
  • Endoscopy

Background:

  • Mallory-Weiss tearing (MWT) is a significant cause of non-variceal upper gastrointestinal bleeding.
  • While often self-limiting, MWT can occasionally lead to severe or fatal outcomes.
  • Endoscopic intervention is sometimes required for active bleeding or signs of re-bleeding.

Purpose of the Study:

  • To summarize the endoscopic management strategies for Mallory-Weiss tearing.
  • To highlight the common endoscopic treatments available for bleeding MWT.

Main Methods:

  • Review of common endoscopic hemostasis techniques for MWT.
  • Discussion of factors influencing treatment selection.

Main Results:

  • Common endoscopic treatments include injection therapy, argon plasma coagulation, hemoclip placement, and band ligation.
  • The choice of endoscopic hemostasis depends on physician expertise and patient condition.

Conclusions:

  • Endoscopic management is a crucial option for actively bleeding MWT.
  • Personalized selection of endoscopic techniques is vital for successful hemostasis in MWT.
Keywords:
EndoscopyMallory-WeissTherapeutics

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