Korean J Gastrointest Endosc.  1996 Aug;16(4):601-607.

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

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.

Keyword

Mallory - Weiss syndrome; Endoscopic ligation with O-ring band

MeSH Terms

Alcoholics
Cough
Esophagogastric Junction
Hematemesis
Hemorrhage
Humans
Lacerations
Ligation*
Mallory-Weiss Syndrome
Vomiting
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