Effective endoscopic treatment of Mallory–Weiss syndrome using Glasgow‐Blatchford score and Forrest classification

Lee, Sunpyo; Ahn, Ji Yong; Jung, Hwoon Yong; Jung, Kee Wook; Lee, Jeong Hoon; Kim, Do Hoon; Choi, Kee Don; Song, Ho June; Lee, Gin Hyug; Kim, Jin Ho; Kim, Seon‐Ok

doi:10.1111/1751-2980.12409

Cited by 13 publications

(21 citation statements)

References 19 publications

(34 reference statements)

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“…In other reports, mechanical hemostasis, such as use of a hemoclip or band ligation, was safe and effective. 50 - 53 …”

Section: Bodymentioning

confidence: 99%

Guidelines for Nonvariceal Upper Gastrointestinal Bleeding

Kim

et al. 2020

Gut and Liver

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Nonvariceal upper gastrointestinal bleeding (NVUGIB) refers to bleeding that develops in the gastrointestinal tract proximal to the ligament of Treitz. NVUGIB requires hospitalization and is associated with significant morbidity and mortality. Although European and Asian-Pacific guidelines have been published, there have been no previous guidelines regarding management of NVUGIB in Korea. Korea has a high prevalence of Helicobacter pylori infections, and patients have easy accessibility to endoscopy. Therefore, we believe that guidelines regarding management of NVUGIB in Korea are essential. The Korean Society of Gastroenterology reviewed the recent evidence and recommends practical management guidelines on NVUGIB in Korea.

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“…In other reports, mechanical hemostasis, such as use of a hemoclip or band ligation, was safe and effective. 50 - 53 …”

Section: Bodymentioning

confidence: 99%

Guidelines for Nonvariceal Upper Gastrointestinal Bleeding

Kim

et al. 2020

Gut and Liver

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“…the analysis of risk factors on adverse outcomes of ANVUGIB patients [24] and the comparison of the GBS with other risk scores (e.g., Rockall score, AIMS65, etc.) in predicting the prognosis of ANVUGIB patients are still hot topics, and some other researchers have reported the application value of the GBS and Forrest classification in Mallory-Weiss syndrome [25]. However, the correlation between the clinical severity score (such as the GBS and SI) and the severity of endoscopic manifestations (Forrest classification) in patients with PUB has not been reported.…”

Section: Discussionmentioning

confidence: 99%

Correlation between the Glasgow-Blatchford score, shock index, and Forrest classification in patients with peptic ulcer bleeding

Hong¹,

Pan²,

Liu³

et al. 2020

Turk J Med Sci

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Background/aim: To investigate the correlation between the Glasgow-Blatchford score, shock index, and Forrest classification in patients with peptic ulcer bleeding (PUB). Materials and methods:A total of 955 patients with PUB were assessed using the Glasgow-Blatchford score and shock index, as well as the Forrest classification based on their gastroscopy results. The correlation between the Glasgow-Blatchford score and shock index was determined using scatter plot analysis, and the correlation between the Glasgow-Blatchford score or shock index and Forrest classification was determined using Spearman's analysis.Results: Both the Glasgow-Blatchford score and shock index showed the highest values in patients with Forrest class IIa. The Glasgow-Blatchford score was significantly higher than patients with Forrest class Ib/IIc/III (P < 0.05), and the shock index was significantly higher than patients with Forrest class Ib/IIb/III (P < 0.05). A positive correlation was observed between the Glasgow-Blatchford score and shock index, at r = 0.427 (P < 0.001). A negative correlation was observed between the Glasgow-Blatchford score and Forrest classification, at r = -0.111 (P < 0.01), and between the shock index and Forrest classification, at r = -0.138 (P < 0.01). Conclusion:A moderate correlation was observed between the Glasgow-Blatchford score and shock index in patients with PUB, and the correlation between the Forrest classification and Glasgow-Blatchford score or shock index was relatively low.

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“…The GBS and AIMS65 system is designed to access the likelihood that a patient with an acute NVUGIB will need to have a blood transfusion or endoscopic intervention. [23,24] Besides, shocking index is recognized as relatively simple scoring system to predict NVUGIB prognosis. [25–27] Whether these scoring systems work in MWS needs to be explored.…”

Section: Discussionmentioning

confidence: 99%

The prediction value of scoring systems in Mallory-Weiss syndrome patients

Zhu

et al. 2019

Medicine

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Mallory-Weiss syndrome (MWS) is a relatively less common cause of nonvariceal upper gastrointestinal bleeding. There is limited data on whether scoring systems could be used to predict the clinical outcomes in patients with bleeding due to MWS. The aim of our study is to evaluate whether the Glasgow-Blatchford score (GBS), AIMS65, and shocking index are effective in predicting the clinical outcomes of MWS. One hundred twenty-eight patients from January 2010 to January 2017 with MWS in middle China were enrolled. Clinical features such as age, gender, causes of vomiting, endoscopic findings, GBS, AIMS65, and shocking index were recorded. The clinical outcomes including endoscopic treatment and transfusion were analyzed. MWS accounted for 6.1% of nonvariceal upper gastrointestinal bleeding. Male-to-female ratio was 3.6:1 and median age was 51 years. Patients between 40 and 60 years were more commonly affected; 43.8% of MWS was caused by overdrinking followed by underlying gastric diseases (33.6%). However, for female patients alone, underlying gastric diseases were the leading cause (42.9%). The tears were usually single and most frequently located on the left lateral wall. In receiver-operating characteristic curve analyses, GBS system and shocking index were useful in predicting transfusion (0.856 vs 0.675). But for endoscopic intervention, these scoring systems are not helpful ( P > .05). Apart from drinking, underlying gastric disease is another important cause of MWS especially for female patients and should be paid more attention under endoscopy examination. GBS system and shocking index can be used to predict transfusion.

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Effective endoscopic treatment of Mallory–Weiss syndrome using Glasgow‐Blatchford score and Forrest classification

Abstract: In MWS, GBS might be useful for predicting clinical outcomes and the Forrest classification in predicting recurrent bleeding.

Cited by 13 publications

References 19 publications

Guidelines for Nonvariceal Upper Gastrointestinal Bleeding

Guidelines for Nonvariceal Upper Gastrointestinal Bleeding

Correlation between the Glasgow-Blatchford score, shock index, and Forrest classification in patients with peptic ulcer bleeding

The prediction value of scoring systems in Mallory-Weiss syndrome patients

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