Skip to main content
SpringerLink
Log in

Endoscopic band ligation therapy for upper gastrointestinal bleeding related to Mallory–Weiss syndrome

  • Published:
Surgical Endoscopy And Other Interventional Techniques Aims and scope Submit manuscript

Abstract

Background

No consensus exists as to the best endoscopic treatment for Mallory-Weiss syndrome. Endoscopic band ligation is a readily available and easily learned technique. This prospective study evaluated the efficacy and safety of endoscopic band ligation therapy for Mallory–Weiss syndrome.

Methods

From August 1998 to June 2005, a clinical trial assessed 37 patients with a diagnosis of Mallory–Weiss syndrome who had active bleeding, exposed vessels, or both. Their lesions were treated using endoscopic band ligation.

Results

Endoscopic band ligation was successful in 36 of 37 cases, with a follow-up period ranging from 1 to 24 months. The remaining patient had severe liver failure and disseminated intravascular coagulation. The patient bled again at 12 h and subsequently died. Except for this case, no recurrent bleeding, perforation, or other complications occurred.

Conclusions

The study results suggest that endoscopic band ligation is an effective, safe, and easily learned procedure for treating upper gastrointestinal bleeding related to Mallory–Weiss syndrome.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Abi-Hanna D, Williams SJ, Gillespie PE, Bourke MJ (1998) Endoscopic band ligation for nonvariceal nonulcer gastrointestinal hemorrhage. Gastrointest Endosc 48: 510–514

    Article  PubMed  CAS  Google Scholar 

  2. Akahoshi K, Yoshinaga S, Fujimaru T, Harada N, Nawata H (2003) Hypertonic saline–epinephrine injection plus endoscopic band ligation therapy for gastric Dieulafoy’s lesion. J Gastroenterol 38: 911–912

    Article  PubMed  Google Scholar 

  3. Bataller R, Llach J, Salmeron JM, Elizalde JI, Mas A, Pique JM, Brullet E, Teres J, Bordas JM, Rodes J (1994) Endoscopic sclerotherapy in upper gastrointestinal bleeding due to the Mallory–Weiss syndrome. Am J Gastroenterol 89: 2147–2150

    PubMed  CAS  Google Scholar 

  4. Brown GR, Harford WV, Jones WF (1994) Endoscopic band ligation of an actively bleeding Dieulafoy lesion. Gastrointest Endosc 40: 501–503

    PubMed  CAS  Google Scholar 

  5. Campo R, Brullet E (1996) Endoscopic treatment of gastric angiodysplasia with elastic band ligation. Gastrointest Endosc 43: 502–504

    Article  PubMed  CAS  Google Scholar 

  6. Chung IK, Kim EJ, Hwang KY, Kim IH, Kim HS, Park SH, Lee MH, Kim SJ (2002) Evaluation of endoscopic hemostasis in upper gastrointestinal bleeding related to Mallory–Weiss syndrome. Endoscopy 34: 474–479

    Article  PubMed  CAS  Google Scholar 

  7. Cipolletta L, Bianco MA, Rotondano G, Piscopo R, Prisco A, Garofano ML (1998) Prospective comparison of argon plasma coagulator and heater probe in the endoscopic treatment of major peptic ulcer bleeding. Gastrointest Endosc 48: 191–195

    Article  PubMed  CAS  Google Scholar 

  8. Gevers AM, De Goede E, Simoens M, Hiele M, Rutgeerts P (2002) A randomized trial comparing injection therapy with hemoclip and with injection combined with hemoclip for bleeding ulcers. Gastrointest Endosc 55: 466–469

    Article  PubMed  Google Scholar 

  9. Gunay K, Cabioglu N, Barbaros U, Taviloglu K, Ertekin C (2001) Endoscopic ligation for patients with active bleeding Mallory–Weiss tears. Surg Endosc 15: 1305–1307

    Article  PubMed  CAS  Google Scholar 

  10. Hajiro K, Yamamoto H, Matsui H, Tsujimura D, Yamamoto T, Hirooka T, Todo A (1984) Endoscopic bipolar electrocoagulation in upper gastrointestinal bleeding. Endoscopy 16: 6–9

    PubMed  CAS  Google Scholar 

  11. Haung SP, Wong AP, Lee YE, Lin CC, Yang CS, Wu MS, Lin JT (2002) Endoscopic hemoclip placement and epinephrine injection for Mallory-Weiss Syndrome with active bleeding. Gastrointest Endosc 55: 842–846

    Article  Google Scholar 

  12. Hurlstone DP (2002) Successful endoscopic haemoclipping in Mallory–Weiss syndrome with concurrent closure of oesophageal perforation: further prospective evaluation of the technique is required. Scand J Gastroenterol 37: 866

    PubMed  CAS  Google Scholar 

  13. Katz PO, Salas L (1993) Less frequent causes of upper gastrointestinal bleeding. Gastroenterol Clin North Am 22: 875–889

    PubMed  CAS  Google Scholar 

  14. Laine L, Cook D (1995) Endoscopic ligation compared with sclerotherapy for treatment of esophageal variceal bleeding: a meta-analysis. Ann Intern Med 123: 280–287

    PubMed  CAS  Google Scholar 

  15. Mallorg GK, Weiss S (1929) Hemorrhages from locerations of the Cardiac orifice of the stomach due to vomiting. Am J Med Sci 178: 506–512

    Google Scholar 

  16. Matsui S, Kamisako T, Kudo M, Inoue R (2002) Endoscopic band ligation for control of nonvariceal upper GI hemorrhage: comparison with bipolar electrocoagulation. Gastrointest Endosc 55: 214–218

    Article  PubMed  Google Scholar 

  17. Morales P, Baum AE (2003) Therapeutic alternatives for the Mallory-Weiss tear. Curr Treatment Options Gastroenterol 6: 75–83

    Google Scholar 

  18. Myung SJ, Kim HR, Moon YS (2000) Severe Mallory–Weiss tear after endoscopy treated by endoscopic band ligation. Gastrointest Endosc 52: 99–101

    Article  PubMed  CAS  Google Scholar 

  19. Park CH, Min SW, Sohn YH, Lee WS, Joo YE, Kim HS, Choi SK, Rew JS, Kim SJ (2004) A prospective, randomized trial of endoscopic band ligation vs epinephrine injection for actively bleeding Mallory–Weiss syndrome. Gastrointest Endosc 60: 22–27

    Article  PubMed  Google Scholar 

  20. Peng YC, Tung CF, Chow WK, Chang CS, Chen GH, Hu WH, Yang DY (2001) Efficacy of endoscopic isotonic saline–epinephrine injection for the management of active Mallory–Weiss tears. J Clin Gastroenterol 32: 119–122

    Article  PubMed  CAS  Google Scholar 

  21. Quincke H (1879) Ulcus oesophageal ex digestion. Dtsch Arch Klin Med 24: 72

    Google Scholar 

  22. Slivka A, Parsons WG, Carr-Locke DL (1994) Endoscopic band ligation for treatment of postpolypectomy hemorrhage. Gastrointest Endosc 40: 230–232

    Article  PubMed  CAS  Google Scholar 

  23. Stiegmann GV, Goff JS (1988) Endoscopic esophageal varix ligation: preliminary clinical experience. Gastrointest Endosc 34: 113–117

    Article  PubMed  Google Scholar 

  24. Stiegmann GV, Goff JS, Michaletz-Onody PA, Korula J, Lieberman D, Saeed ZA, Reveille RM, Sun JH, Lowenstein SR (1992) Endoscopic sclerotherapy as compared with endoscopic ligation for bleeding esophageal varices. N Engl J Med 326: 1527–1532

    Article  PubMed  CAS  Google Scholar 

  25. Sugawa C, Fujita Y, Ikeda T, Walt AJ (1986) Endoscopic hemostasis of bleeding of the upper gastrointestinal tract by local injection of ninety-eight per cent dehydrated ethanol. Surg Gynecol Obstet 162: 159–163

    PubMed  CAS  Google Scholar 

  26. Terada R, Ito S, Akama F, Kidogawa H, Kashima K, Yamayoshi T, Ooe H (2000) Mallory–Weiss syndrome with severe bleeding: treatment by endoscopic ligation. Am J Emerg Med 18: 812–815

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastroenterology, Aso Iizuka Hospital, 3-83 Yoshio, Iizuka, Fukuoka, 820-8505, Japan

    N. Higuchi, K. Akahoshi, Y. Sumida, M. Kubokawa, Y. Motomura, M. Kimura & M. Matsumoto

  2. Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoko, 812-8582, Japan

    K. Nakamura & H. Nawata

Authors
  1. N. Higuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Akahoshi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Y. Sumida
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. M. Kubokawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Y. Motomura
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. M. Kimura
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. M. Matsumoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. K. Nakamura
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. H. Nawata
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to N. Higuchi.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Higuchi, N., Akahoshi, K., Sumida, Y. et al. Endoscopic band ligation therapy for upper gastrointestinal bleeding related to Mallory–Weiss syndrome. Surg Endosc 20, 1431–1434 (2006). https://doi.org/10.1007/s00464-005-0608-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-005-0608-5

Keywords

Search

Navigation