Endoscopic band ligation therapy for upper gastrointestinal bleeding related to Mallory-Weiss syndrome

被引:15
作者
Higuchi, N.
Akahoshi, K.
Sumida, Y.
Kubokawa, M.
Motomura, Y.
Kimura, M.
Matsumoto, M.
Nakamura, K.
Nawata, H.
机构
[1] Aso Iizuka Hosp, Dept Gastroenterol, Iizuka, Fukuoka 8208505, Japan
[2] Kyushu Univ, Grad Sch Med Sci, Dept Med & Bioregulat Sci, Higashi Ku, Fukuoka 8128582, Japan
来源
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES | 2006年 / 20卷 / 09期
关键词
endscopic band ligation; hemostasis; upper gastrointestinal bleeding; SALINE-EPINEPHRINE INJECTION; BIPOLAR ELECTROCOAGULATION; RANDOMIZED-TRIAL; SCLEROTHERAPY; HEMORRHAGE; HEMOSTASIS; LESION;
D O I
10.1007/s00464-005-0608-5
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: No consensus exists as to the best endoscopic treatment for Mallory-Weiss syndrome. Endoscopic band ligation is a readily available and easily learned technique. This prospective study evaluated the efficacy and safety of endoscopic band ligation therapy for Mallory-Weiss syndrome. Methods: From August 1998 to June 2005, a clinical trial assessed 37 patients with a diagnosis of Mallory-Weiss syndrome who had active bleeding, exposed vessels, or both. Their lesions were treated using endoscopic band ligation. Results: Endoscopic band ligation was successful in 36 of 37 cases, with a follow-up period ranging from I to 24 months. The remaining patient had severe liver failure and disseminated intravascular coagulation. The patient bled again at 12 h and subsequently died. Except for this case, no recurrent bleeding, perforation, or other complications occurred. Conclusions: The study results suggest that endoscopic band ligation is an effective, safe, and easily learned procedure for treating upper gastrointestinal bleeding related to Mallory-Weiss syndrome.
引用
收藏
页码:1431 / 1434
页数:4
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