Korean Journal of Gastrointestinal Endoscopy 1996;16(4): 601-607.
증례 : 식도 위장관 ; Mallory - Weiss 증후군 출혈의 고무밴드 결찰 지혈술의 유용성 ( Case Reports : Esophagus , Stomach & Intestine ; The Usefulness of Endoscopic O-ring Band Ligation in the Management of Mallory - Weiss Syndrome )
심찬섭, 이준성, 이문성, 조주영, 조영덕, 이영홍, 봉형근, 김진오, 김연수, 황성규, 차상우, 천갑진 (Chan Sup Shim, Joon Seong Lee, Moon Sung Lee, Joo Young Cho, Young Deok Cho, Young Hong Lee, Hyung Keun Bong, Jin Oh Kim, Yun Soo Kim, Seong Gyu Hwang, Sang Woo Cha and Gab Jin Cheon)
Abstract
Mallory-Weiss syndrome is a laceration in the region of the gastroesophageal junction due to vomiting, retching, coughing preceding hematemesis in alcoholic patient. Bleeding from Malloly-Weise tears stop spontaneously without specific therapy in 80-90% of patient, but rebleeding occurs in 2 to 5% of patients. Thus most patients require only supportive care. Rarely endoscopic therapy or operative therapy may be required. We performed endoscopic mucosal ligation using intraluminal negative pressure with band ligation for uncontrolled Mallory-Weiss syndrome. In conclusion, Endoscopic O-ring band ligation in uncontrolled intractable Mallory-Weiss syndrome is safe and effective method, but its important that accurate endoscopic O-ring band ligation an bleeding site in laceration area. We experienced endoscopic O-ring band ligation in 6 cases of Mallory-Weiss syndrome. (Korean J Gastrointest Endosc 16: 601-607, 1996)
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