Endoscopic management of mallory-weiss tearing
#MMPMID25844336
Kim HS
Clin Endosc
2015[Mar]; 48
(2
): 102-5
PMID25844336
show ga
Mallory-Weiss tearing (MWT) is a common cause of non-variceal upper
gastrointestinal bleeding. Although the majority of patients with bleeding MWT
require no intervention other than hemodynamic supports, spectrum of MWT is wide,
and the condition sometimes results in a fatal outcome. Endoscopic management to
stop the bleeding may be required during the index endoscopy, especially in those
with active bleeding or stigmata of recurrent bleeding. Most commonly used
endoscopic treatment for actively bleeding MWT is injection therapy, argon plasma
coagulation, hemoclip placement, and band ligation. Selection of the optimal
endoscopic hemostasis depends on the physician's ability and patient's clinical
status.
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