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Related Experiment Videos

Angiotherapy with Mallory-Weiss tear.

R G Fisher, J T Schwartz, D Y Graham

    AJR. American Journal of Roentgenology
    |April 1, 1980
    PubMed
    Summary

    Most Mallory-Weiss tears stop bleeding alone. For persistent bleeding, angiotherapy like vasopressin infusion or embolization effectively achieved hemostasis in most patients, though complications were noted.

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    Area of Science:

    • Gastroenterology
    • Interventional Radiology

    Background:

    • Mallory-Weiss tears are a common cause of upper gastrointestinal hemorrhage.
    • Spontaneous cessation of bleeding occurs in most cases.
    • Persistent or rebleeding Mallory-Weiss tears pose significant therapeutic challenges.

    Purpose of the Study:

    • To evaluate the efficacy and safety of angiotherapy for managing persistently bleeding Mallory-Weiss tears.
    • To compare outcomes of intraarterial vasopressin infusion versus arterial embolization.
    • To discuss treatment-related complications, particularly cardiac issues associated with vasopressin.

    Main Methods:

    • A cohort of 15 patients with persistently bleeding Mallory-Weiss tears was treated.
    • Treatment modalities included intraarterial vasopressin infusion (13 patients) and arterial embolization (2 patients).
    • Outcomes and complications were documented and compared with existing literature.

    Main Results:

    • Angiotherapy resulted in permanent hemostasis in the majority of treated patients.
    • Intraarterial vasopressin infusion and arterial embolization demonstrated effectiveness in controlling hemorrhage.
    • Complications associated with each method were observed and analyzed.

    Conclusions:

    • Angiotherapy is a viable option for patients with persistent bleeding from Mallory-Weiss tears.
    • Both vasopressin infusion and embolization can achieve hemostasis.
    • Careful consideration of potential complications, especially cardiac effects of vasopressin, is essential.

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