Mallory-Weiss Syndrome with Colonic Lavage. A Case Report.

Nishida, Yukihiro; Hamaji, Masayasu; Sakaguchi, Hiromasa; Miyazaki, Satoru; Kuhara, Akio; Ishida, Masatoshi; Ito, Takashi

doi:10.5833/jjgs.32.997

Cited by 2 publications

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“…AEs that have been reported include: Mallory-Weiss syndrome and esophageal perforation caused by vomiting 7 8 9 10 ; acute respiratory distress syndrome caused by aspiration pneumonia 11 ; allergy and anaphylactic shock 12 13 14 ; hyperphosphatemia 15 16 and ischemic colitis caused by peroral preparation drugs 17 18 19 . There have also been a few reports of LBO and perforation caused by bowel preparation.…”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of large bowel obstruction or perforation caused by oral preparation for colonoscopy

et al. 2017

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Background and study aims Patients undergoing bowel preparation for colonoscopy are at risk of potentially severe adverse events such as large-bowel obstruction (LBO) and perforation. These patients usually need emergency surgery and the consequences may be fatal. Little is known about the risk factors for LBO and perforation in these circumstances. We sought to establish the natural history of LBO and perforation caused by oral preparation for colonoscopy. Patients and methods We retrospectively analyzed data from 20 patients with LBO or perforation associated with oral preparation for colonoscopy. All patients were treated at the Showa University Northern Yokohama Hospital (SUNYH) between April 2001 and December 2015. Drugs used for bowel preparation, age, sex, indication for colonoscopy, pathogenesis and treatment were recorded. Results Eighteen of the patients had LBO and 2 had perforation. Fourteen events occurred at SUNYH, which accounted for 0.016 % of patients who underwent bowel preparation during this period. Seventeen patients were symptomatic when the decision to undertake colonoscopy was made (including 7 who complained of constipation and 4 who complained of abdominal pain; 3e were asymptomatic). Nineteen patients ultimately required surgery, 13 within 3 days of presentation. Eleven patients ultimately required colostomy. There was no perioperative mortality in our cases. Conclusion Large bowel obstruction and perforation are rare events associated with oral preparation for colonoscopy, but frequently require surgery. Exacerbation of constipation might be a risk factor for LBO or perforation. Potentially catastrophic situations can be avoided by early detection and treatment.

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Section: Discussionmentioning

confidence: 99%

Retrospective analysis of large bowel obstruction or perforation caused by oral preparation for colonoscopy

et al. 2017

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“…However, MWS can also develop due to endoscopic examination and treatment [3] [4], hyperemesis gravidarum, or preliminary treatments for large bowel endoscopy, where these are associated with nausea, vomiting, straining, coughing, abdominal injury, or epileptic seizures [5]. If all layers of the esophageal wall tear and create an opening to the mediastinum, the condition manifests differently as an idiopathic esophageal rupture (Boerhaave's syndrome) [6].…”

Section: Discussionmentioning

confidence: 99%

A Study of Mallory-Weiss Syndrome Secondary to Upper Gastrointestinal Bleeding

Inoué¹,

Fujino²,

Onodera³

et al. 2014

OJCD

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Background: In Mallory-Weiss Syndrome (MWS), vomiting causes the mucous membrane and submucosa near the esophagogastric mucosal junction to tear and bleed. Thus, MWS can arise after heavy drinking and as a complication of endoscopic upper gastrointestinal examinations or procedures. However, there has been no report of MWS secondary to upper gastrointestinal bleeding thus far. Case Subjects: Of 79 MWS cases over a 10-year period from 2002 to 2011, we identified and studied 6 cases, in which MWS was probably caused by another lesion causing upper gastrointestinal bleeding. Results: There were 2 cases, each of gastric ulcers, duodenal ulcers, and varicose veins. In 3 cases, MWS was discovered during treatment of the primary lesion and was simultaneously treated. In the other 3 cases, patients were treated for MWS according to endoscopic diagnosis, and the primary lesion was overlooked; in these cases, the primary lesion was identified and treated after the bleeding recurred. One patient with cirrhosis died of hepatic failure. Conclusion: Care should be taken when dealing with MWS because it can occur as a result of vomiting caused by hematemesis or as a complication of endoscopic examination and treatment. When assessing MWS, other hemorrhagic lesions may be overlooked.

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Mallory-Weiss Syndrome with Colonic Lavage. A Case Report.

Cited by 2 publications

References 0 publications

Retrospective analysis of large bowel obstruction or perforation caused by oral preparation for colonoscopy

Retrospective analysis of large bowel obstruction or perforation caused by oral preparation for colonoscopy

A Study of Mallory-Weiss Syndrome Secondary to Upper Gastrointestinal Bleeding

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