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- Title
ENDOSCOPIC HEMOSTASIS WITH METALLIC HEMOCLIPS FOR IATROGENIC MALLORY-WEISS TEAR CAUSED BY ENDOSCOPIC EXAMINATION.
- Authors
Shimoda, Ryo; Iwakiri, Ryuichi; Sakata, Hiroyuki; Ogata, Shinichi; Ootani, Hibiki; Sakata, Yasuhisa; Fujise, Takehiro; Yamaguchi, Kanako; Mannen, Kotaro; Arima, Seichiro; Shiraishi, Ryosuke; Noda, Takahiro; Ono, Akihiro; Tsunada, Seiji; Fujimoto, Kazuma
- Abstract
Aim: Applied endoscopic techniques including mucosal resection, sclerotherapy and endoscopic retrograde cholangiopancreatography (ERCP) have been advanced and iatrogenic complications including Mallory-Weiss tear (MWT) occasionally occur in daily endoscopic procedures. The present study aimed to examine the advantages of clipping for MWT complications that occur during endoscopic examination. Methods: Over 10 years, we experienced 47 patients with bleeding caused by MWT. Metallic hemoclips were applied for 38 patients for hemostasis. These patients were categorized into two groups: 18 patients in group A whose bleeding tear occurred during endoscopic examination in an iatrogenic condition, and 20 patients in group B visited the emergency unit due to other etiology of MWT. Results: The background characteristics, including length of tears, were not different between the two groups. Initial hemostasis was 100% in groups A and B. Rebleeding was 0/18 (0%) in group A and 1/20 (5 %) in group B. Number of patients who received blood transfusion was significantly higher in group B (group A: 0/18, group B: 4/20). Hemoglobin level before hemostasis was 12.5 g/dL in group A which was not different to that in group B, 10.9 g/dL. Conclusion: Application of hemoclips was effective for bleeding MWT during endoscopic procedures, which warranted prophylactic application of hemoclips on MWT during endoscopic examination.
- Subjects
ENDOSCOPY; SURGICAL excision; SCLEROTHERAPY; ENDOSCOPIC retrograde cholangiopancreatography; PATIENTS; ETIOLOGY of diseases
- Publication
Digestive Endoscopy, 2009, Vol 21, Issue 1, p20
- ISSN
0915-5635
- Publication type
Article
- DOI
10.1111/j.1443-1661.2008.00825.x