Korean Journal of Gastrointestinal Endoscopy 1996;16(4): 568-573.
원저 : 식도 위장관 ; Mallory - Weiss 증후군 출혈의 내시경적 금속 Clip 지혈술의 유용성 ( Original Articles : Esophagus , Stomach & Intestine ; The Usefulness of Endoscopic Hemoclipping in the Management of Mallory - Weiss syndrome )
심찬섭, 이준성, 이문성, 조주영, 조영덕, 이영홍, 봉형근, 김진오, 김연수, 황성규, 박용순 (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 and Yong Soon Park)
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 Mallory-Weiss tears stop spontaneously without specific therapy in 80-90 percent of patient, but rebleeding is uncommonly occurring in 2 to 5 percent of patients. Thus most patients require only supportive care. Rarely endoscopic therapy or operative therapy may be required. We conducted an uncontrolled study to evaluate an improved metallic clip(Olympus hemoclip) for the endoscopic treatment of Mallory-Weiss syndrome. Initial hemostasis was achieved in all patients with active bleeding. No complications resulted from this treatment. Clips did not impair healing of teared mucosa. We conclude that endoscopic hemoclip placement is a highly effective and safe method for treating uncontrolled Mallory-Weis syndrome. (Korean J Gastrointest Endosc 16: 568~572, 1996)
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