Abstract | OBJECTIVES: METHODS: We studied all 50 cases of gastrointestinal bleeding secondary to the Mallory-Weiss syndrome seen in 2175 consecutive emergency endoscopic examinations performed in a University Hospital over a 3-year period. Endoscopic sclerotherapy (1/10000 adrenaline + 1% polidocanol) was performed in all patients with active bleeding or visible vessel at endoscopic examination. The remaining patients were medically treated. RESULTS: Active bleeding or a visible vessel were found in 13 patients; definitive hemostasis was obtained in all cases with sclerotherapy. The remaining 37 patients were successfully treated by conservative therapy. On admission, the severity of the hemorrhagic episodes was significantly higher in patients treated with sclerotherapy than in those who did not require this procedure. An esophageal perforation, successfully managed by conservative means, was the only complication recorded in the subset of patients undergoing sclerotherapy. CONCLUSIONS:
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Authors | R Bataller, J Llach, J M Salmerón, J I Elizalde, A Mas, J M Piqué, E Brullet, J Terés, J M Bordas, J Rodés |
Journal | The American journal of gastroenterology
(Am J Gastroenterol)
Vol. 89
Issue 12
Pg. 2147-50
(Dec 1994)
ISSN: 0002-9270 [Print] United States |
PMID | 7977231
(Publication Type: Clinical Trial, Journal Article)
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Topics |
- Adult
- Aged
- Aged, 80 and over
- Endoscopy, Gastrointestinal
- Female
- Gastrointestinal Hemorrhage
(etiology, physiopathology, therapy)
- Humans
- Male
- Mallory-Weiss Syndrome
(complications, physiopathology)
- Middle Aged
- Prospective Studies
- Risk Factors
- Sclerotherapy
(methods)
- Treatment Outcome
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