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Randomized Controlled Trial
. 2008 Apr 7;14(13):2080-4.
doi: 10.3748/wjg.14.2080.

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Young-Seok Cho  1 , Hiun-Suk Chae, Hyung-Keun Kim, Jin-Soo Kim, Byung-Wook Kim, Sung-Soo Kim, Sok-Won Han, Kyu-Yong Choi
Affiliations
Randomized Controlled Trial

Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding

Young-Seok Cho et al. World J Gastroenterol. .

Abstract

Aim: To compare the hemostatic efficacy and safety of two mechanical endoscopic methods: endoscopic band ligation (EBL) and endoscopic hemoclip placement (EHP) in patients with actively bleeding Mallory-Weiss syndrome (MWS).

Methods: A prospective randomized study to compare the efficacy and safety of EHP with EBL was performed from January 2002 to August 2005. Forty-one patients with active bleeding from MWS were treated with EHP (n = 21) or EBL (n = 20).

Results: There were no significant differences between groups with respect to clinical and endoscopic characteristics. The mean number of hemoclips applied was 3.2 +/- 1.5 and the mean number of bands applied was 1.2 +/- 0.4. Primary hemostasis was achieved in all patients. Recurrent bleeding was observed in one patient from the EHP group and two from the EBL group. Patients with recurrent bleeding were treated by the same modality as at randomization and secondary hemostasis was achieved in all. There were no significant differences between the two groups in total transfusion amount or duration of hospital stay. No complications or bleeding-related death resulted.

Conclusion: EHP and EBL are equally effective and safe for the management of active bleeding in patients with Mallory-Weiss syndrome, even in those with shock or comorbid diseases.

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Figures

Figure 1
Figure 1
Endoscopic view of a Mallory-Weiss tear at the cardia of the stomach. A: An actively bleeding vessel ; B: After band placement.
Figure 2
Figure 2
Endoscopic view of a Mallory-Weiss tear at the esophagogastric junction. A: Oozing vessel; B: After hemoclip application to the bleeding vessel.
See this image and copyright information in PMC

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