The Mallory‐weiss Lesion a Five‐year Experience

Endoscopic Hemostasis With Metallic Hemoclips for Iatrogenic Mallory‐weiss Tear Caused by Endoscopic Examination

“…Mallory‐Weiss tear (MWT) was described as a syndrome of upper gastrointestinal bleeding caused by nausea, retching and vomiting in 1929 1 . During the past 20 years, it has been reported that 5–15% of upper gastrointestinal bleeding is caused by MWT 2–5 . Watts reported a case of MWT that occurred during endoscopic examination, 6 and MWT has been recognized to be one of the complications related to endoscopic examination 6–10 .…”

“…The incidence of iatrogenic complications, including MWT, has increased with advances in and the increased use of endoscopic examination; the complication rate of MWT was reported to be 0.07–0.49% 8,9 . Most patients with MWT do not require endoscopic hemostasis and blood transfusion, 2–5 but several reports have indicated that patients with wide tears on the gastroesophageal mucosa suffered from massive bleeding and required endoscopic hemostasis 11–14 …”

“…1 During the past 20 years, it has been reported that 5-15% of upper gastrointestinal bleeding is caused by MWT. [2][3][4][5] Watts reported a case of MWT that occurred during endoscopic examination, 6 and MWT has been recognized to be one of the complications related to endoscopic examination. [6][7][8][9][10] The incidence of iatrogenic complications, including MWT, has increased with advances in and the increased use of endoscopic examination; the complication rate of MWT was reported to be 0.07-0.49%.…”

“…[6][7][8][9][10] The incidence of iatrogenic complications, including MWT, has increased with advances in and the increased use of endoscopic examination; the complication rate of MWT was reported to be 0.07-0.49%. 8,9 Most patients with MWT do not require endoscopic hemostasis and blood transfusion, [2][3][4][5] but several reports have indicated that patients with wide tears on the gastroesophageal mucosa suffered from massive bleeding and required endoscopic hemostasis. [11][12][13][14] Several hemostasis procedures applied to MWT include endoscopic band ligation, [15][16][17][18] endoscopic injection therapy, 17,[19][20][21][22][23][24][25] endoscopic electrocoagulation 15,26,27 and selective arterial embolization.…”