878 results match your criteria Mallory-Weiss Tear


Spontaneous Intramural Esophageal Rupture: An Uncommon Presentation of Eosinophilic Esophagitis Requiring Endoscopic Clipping.

ACG Case Rep J 2018 26;5:e66. Epub 2018 Sep 26.

Division of Epidemiology and Biostatistics, Western Michigan University, MD Homer Stryker School of Medicine, Kalamazoo, MI.

Spontaneous intramural esophageal rupture (SIER) is a form of acute esophageal trauma defined as an injury deeper than a Mallory-Weiss tear but not extending completely through the muscular propria as in Boerhaave syndrome. SIER is a rare complication of eosinophilic esophagitis (EoE); after extensive literature review, we found 7 case reports of SIER complicating EoE. We present a case of SIER complicating EoE in a 46-year-old man with an atypical presentation requiring endoscopic clipping to achieve successful hemostasis. Read More

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September 2018
2 Reads

Clinical Outcomes of Patients with Non-ulcer and Non-variceal Upper Gastrointestinal Bleeding: A Prospective Multicenter Study of Risk Prediction Using a Scoring System.

Dig Dis Sci 2018 12 21;63(12):3253-3261. Epub 2018 Aug 21.

Kyungpook National University Hospital, Daegu, South Korea.

Background And Aims: Compared with ulcer bleeding (UB) in non-variceal upper gastrointestinal bleeding (NVUGIB), non-ulcer bleeding (NUB) is often considered to have a low risk of poor outcomes and is treated less intensively without any risk stratification. We conducted this study to assess the predictability of scoring systems for NUB and compare the outcomes of NUB and UB.

Methods: A total of 1831 UGIB patients were registered in the database during the period from February 2011 to December 2013. Read More

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December 2018
2 Reads

Endoscopic Management of Nonvariceal, Nonulcer Upper Gastrointestinal Bleeding.

Gastrointest Endosc Clin N Am 2018 Jul 17;28(3):291-306. Epub 2018 Apr 17.

Division of Gastroenterology, University of California, 9500 Gilman Drive #0956, La Jolla, CA 92093-0956, USA.

Nonvariceal, nonulcer upper gastrointestinal hemorrhage (UGIH) is a less common cause for acute upper gastrointestinal bleeding. However, nonvariceal, nonulcer UGIH is an important entity to identify and treat appropriately to prevent bleeding-related morbidity and mortality. Over the past 40 years, there has been a revolution in gastrointestinal endoscopy and a similar revolution in the management of UGIH. Read More

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July 2018
8 Reads

Overview of Mallory-Weiss syndrome.

Authors:
Kathleen Rich

J Vasc Nurs 2018 06;36(2):91-93

Franciscan Health - Michigan City, Michigan City, Indiana. Electronic address:

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June 2018
1 Read

Evaluation and management of Non-variceal upper gastrointestinal bleeding.

Dis Mon 2018 Jul 7;64(7):333-343. Epub 2018 Mar 7.

Division of Gastroenterology & Hepatology, University of Texas Medical Branch, 7400 Jones Drive, Apt 724, Galveston, TX 77551.

Non-variceal upper gastrointestinal bleeding continues to be an important cause of morbidity and mortality. The most common causes include peptic ulcer disease, Mallory-Weiss syndrome, erosive gastritis, duodenitis, esophagitis, malignancy, angiodysplasias and Dieulafoy's lesion. Initial assessment and early aggressive resuscitation significantly improves outcomes. Read More

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July 2018
3 Reads
1 Citation
0.540 Impact Factor

Single-Incision Laparoscopic Transgastric Underrunning and Closure of Cameron Ulcers in Acute Gastrointestinal Bleeding.

J Gastrointest Surg 2018 Mar 19;22(3):553-556. Epub 2018 Jan 19.

Division of Upper Gastrointestinal Surgery, Department of Surgery, National University Health System Singapore, National University of Singapore, 1E, Kent Ridge Road, NUHS Tower Block, Level 8, Singapore, Singapore.

Introduction: Endoscopic therapy remains the cornerstone of hemostasis for gastrointestinal bleeding. In situations where hemostasis cannot be achieved via endoscopic or radiological methods, surgery is necessary. Traditional open surgery for bleeding gastric ulcers can be very morbid and unsuitable especially in hemodynamically unstable patients in extremis. Read More

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March 2018
8 Reads

Treatment of gastrointestinal bleeding with idarucizumab in a patient receiving dabigatran.

Am J Health Syst Pharm 2018 Feb 17;75(4):177-182. Epub 2018 Jan 17.

Memorial Regional Hospital, Hollywood, FL.

Purpose: A case report describing use of idarucizumab for dabigatran reversal without the use of hemostatic agents in a patient who developed acute upper gastrointestinal (GI) bleeding while receiving triple antithrombotic therapy is presented.

Summary: A 77-year-old man with a complex cardiac history presented to the emergency room with chief complaints of black tarry stools and low blood pressures for 4 days. His past medical history included recent percutaneous coronary intervention (PCI) and drug-eluting stent (DES) placement, atrial fibrillation, hypertension, hyperlipidemia, coronary artery disease, coronary artery bypass graft surgery, stage 3 chronic kidney disease, and cholecystectomy. Read More

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February 2018
8 Reads

Mallory-Weiss syndrome diagnosed after tracheal extubation.

J Anesth 2018 Apr 13;32(2):305. Epub 2018 Jan 13.

Department of Anesthesiology, Fukushima Medical University School of Medicine, 1 Hikarigaoka, Fukushima, Fukushima, 960-1295, Japan.

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April 2018
3 Reads

Risk factors associated with clinically significant gastrointestinal bleeding in pediatric ED.

Am J Emerg Med 2018 Apr 12;36(4):665-668. Epub 2017 Dec 12.

Hacettepe University Faculty of Medicine, Department of Pediatrics, Division of Pediatric Gastroenterology and Hepatology, Ankara, Turkey.

Introduction: Gastrointestinal bleeding is a common problem in pediatric emergency department (PED). Some of these patients can lose significant amount of blood which may lead to shock. The aim of this study is to determine the risk factors predicting clinically significant gastrointestinal (GIS) bleeding in patients presenting to PED. Read More

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April 2018
10 Reads

Changing Epidemiology of Upper Gastrointestinal Hemorrhage in the Last Decade: A Nationwide Analysis.

Dig Dis Sci 2018 05 27;63(5):1286-1293. Epub 2017 Dec 27.

Division of Gastroenterology, Department of Medicine, Medical University of South Carolina, 96 Jonathan Lucas Street, Suite 803, MSC 623, Charleston, SC, 29425, USA.

Background: Upper gastrointestinal hemorrhage (UGIH) is common and carries substantial mortality requiring frequent hospitalizations.

Aim: To investigate trends in etiology and outcome of UGIH in hospitalized patients in the USA.

Methods: Retrospective, observational cohort study of the Nationwide Inpatient Sample from 2002 to 2012 was carried out. Read More

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May 2018
7 Reads

CTA As an Adjuvant Tool for Acute Intra-abdominal or Gastrointestinal Bleeding.

Tech Vasc Interv Radiol 2017 Dec 9;20(4):248-257. Epub 2017 Oct 9.

Department of Radiology, Division of Interventional Radiology and Image Guided Medicine, Emory University School of Medicine, Atlanta, GA.

Hematemesis and acute postsurgical upper gastrointestinal hemorrhage are common emergent on-call consultations for the interventional radiologist. Upper GI bleleding (UGIB) is a relatively frequent problem. The incidence and mortality vary among patient populations, but studies have shown an overall incidence ranging from 36-172 cases per 100,000 adults per year, with a mortality rate of 5%-14%. Read More

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December 2017
7 Reads

Upper Gastrointestinal Bleeding in Children: A Tertiary United Kingdom Children's Hospital Experience.

Children (Basel) 2017 Nov 3;4(11). Epub 2017 Nov 3.

Department of Paediatric Surgery, Queen's Medical Centre, Nottingham University Hospitals NHS Trust, Derby Road, Nottingham NG7 2UH, UK.

The aim of this study was to review the aetiology, presentation and management of these patients with upper gastrointestinal bleeding (UGIB) at a tertiary children's unit in the United Kingdom. This was a retrospective single-institution study on children (<16 years) who presented with acute UGIB over a period of 5 years using known International Classification of Diseases (ICD) codes. A total of 32 children (17 males, 15 females) were identified with a total median age at presentation of 5. Read More

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November 2017
10 Reads

Is the AIMS 65 Score Useful in Prepdicting Clinical Outcomes in Korean Patients with Variceal and Nonvariceal Upper Gastrointestinal Bleeding?

Gut Liver 2017 Nov;11(6):813-820

Department of Internal Medicine, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Korea.

Background/aims: Various clinical scoring systems, including the Glasgow-Blatchford score (GBS), Rockall risk score (RS), and AIMS65 score (AIMS65), have been validated to predict the clinical outcomes in patients with upper gastrointestinal bleeding (UGIB). We compared the performance of these three scoring systems in predicting clinical outcomes in patients with UGIB in Korea.

Methods: We retrospectively evaluated 286 patients with UGIB who visited emergency department. Read More

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November 2017
11 Reads

Mallory-Weiss tear after violent hiccups: a rare association.

J Community Hosp Intern Med Perspect 2017 Jan 31;7(1):37-39. Epub 2017 Mar 31.

Department of Gastroenterology, Providence - Providence Park Hospital, Southfield, MI, USA.

We present an unusual case of a 44-year-old male who developed violent hiccups soon after a ureteroscopy for nephrolithiasis; later, the forceful hiccups were followed by hematemesis. Upper esophagogastroduodenoscopy revealed Mallory-Weiss tears and esophageal erosions in the lower esophagus. Esophageal biopsy was unremarkable. Read More

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January 2017
11 Reads

Intramural oesophageal haematoma-a rare complication of dabigatran.

N Z Med J 2017 Jun 2;130(1456):80-82. Epub 2017 Jun 2.

General Surgery, Christchurch Hospital, Christchurch.

An 85-year-old female presented to hospital with haemoptysis. She underwent investigations which confirmed oesophageal submucosal haematoma. Oesophageal haematoma along with Mallory-Weiss and Boerhaave's syndromes make up acute mucosal injury of the oesophagus. Read More

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June 2017
9 Reads

What Does Lesion Blood Flow Tell Us About Risk Stratification and Successful Management of Non-variceal UGI Bleeding?

Curr Gastroenterol Rep 2017 Apr;19(4):17

Vatche and Tamar Manoukian Division of Digestive Diseases, David Geffen School of Medicine at UCLA, 100 UCLA Medical Plaza #205, Los Angeles, CA, 90095, USA.

Purpose Of Review: There has been a decline in mortality associated with upper gastrointestinal (UGI) hemorrhage as the use of urgent endoscopy has increased. This review will examine endoscopic risk stratification of non-variceal UGI bleeding (e.g. Read More

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April 2017
10 Reads

Risk Factors for an Iatrogenic Mallory-Weiss Tear Requiring Bleeding Control during a Screening Upper Endoscopy.

Gastroenterol Res Pract 2017 27;2017:5454791. Epub 2017 Feb 27.

Department of Clinical Epidemiology and Biostatistics, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea.

In some cases of iatrogenic Mallory-Weiss tears (MWTs), hemostasis is needed due to severe mucosal tearing with bleeding. Therefore, we aimed to evaluate the risk factors for severe iatrogenic MWTs and the methods of endoscopic bleeding control. Between January 2008 and December 2012, 426,085 cases of screening upper endoscopy were performed at the Asan Medical Center. Read More

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February 2017
5 Reads

Imaging of the oesophagus: beyond cancer.

Insights Imaging 2017 Jun 17;8(3):365-376. Epub 2017 Mar 17.

Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Ave, Box 648, Rochester, NY, 14642, USA.

Non-malignant oesophageal diseases are critical to recognize, but can be easily overlooked or misdiagnosed radiologically. In this paper, we cover the salient clinical features and imaging findings of non-malignant pathology of the oesophagus. We organize the many non-malignant diseases of the oesophagus into two major categories: luminal disorders and wall disorders. Read More

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June 2017
25 Reads

Comparison of heater probe coagulation and argon plasma coagulation in the management of Mallory-Weiss tears and high-risk ulcer bleeding.

Arab J Gastroenterol 2017 Mar 3;18(1):35-38. Epub 2017 Mar 3.

Akdeniz University School of Medicine, Department of Gastroenterology, Antalya, Turkey.

Background And Study Aims: Upper gastrointestinal (GI) bleeding is a common medical emergency. Endoscopic treatments often lead to better therapeutic outcomes than conventional conservative treatments. This study aimed to investigate and compare the use of heater probe coagulation (HPC) and argon plasma coagulation (APC) together with epinephrine injection for the treatment of Mallory-Weiss tears and high-risk ulcer bleeding. Read More

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March 2017
29 Reads

Doppler Endoscopic Probe Monitoring of Blood Flow Improves Risk Stratification and Outcomes of Patients With Severe Nonvariceal Upper Gastrointestinal Hemorrhage.

Gastroenterology 2017 05 4;152(6):1310-1318.e1. Epub 2017 Feb 4.

Department of Biomathematics, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California.

Background & Aims: For 4 decades, stigmata of recent hemorrhage in patients with nonvariceal lesions have been used for risk stratification and endoscopic hemostasis. The arterial blood flow that underlies the stigmata rarely is monitored, but can be used to determine risk for rebleeding. We performed a randomized controlled trial to determine whether Doppler endoscopic probe monitoring of blood flow improves risk stratification and outcomes in patients with severe nonvariceal upper gastrointestinal hemorrhage. Read More

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May 2017
7 Reads

[Acute hemorrhage in the upper gastrointestinal tract].

Internist (Berl) 2017 Mar;58(3):226-232

Klinik für Gastroenterologie, Hepatologie und Endokrinologie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Bleeding in the upper gastrointestinal (GI) tract is a frequent and complex emergency. There are guidelines for acute medical treatment, established endoscopic treatment as well as surgical and radiological rescue procedures. Nevertheless, the mortality of the upper GI tract bleeding is high, which is due to the fact that affected patients often have serious preexisting illnesses. Read More

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March 2017
3 Reads

Mallory Weiss syndrome is not associated with hiatal hernia: a matched case-control study.

Scand J Gastroenterol 2017 Apr 22;52(4):462-464. Epub 2016 Dec 22.

d Division of Gastroenterology, Department of Medicine , University of Miami Miller School of Medicine , Miami , FL , USA.

Background/objective: Hiatal hernia is considered to be a predisposing factor to develop Mallory-Weiss Syndrome (MWS). No large case-control studies verifying this hypothesis have been conducted.

Methods: We reviewed all esophagogastroduodenoscopies with findings of MWS (n = 2342) in a national database and compared with age and gender-matched controls (n = 9368). Read More

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April 2017
13 Reads

Efficacy and safety of TC-325 (HemosprayTM) for non-variceal upper gastrointestinal bleeding at Middlemore Hospital: the early New Zealand experience.

N Z Med J 2016 Dec 2;129(1446):38-43. Epub 2016 Dec 2.

Gastroenterologist & Interventional Endoscopist, Department of Gastroenterology and Hepatology, Middlemore Hospital, Auckland.

Aims: A case series to review early experiences with HemosprayTM for a variety of non-variceal upper gastrointestinal bleeding (UGIB) at Middlemore Hospital.

Methods: HemosprayTM was administered therapeutically as first line or rescue at the discretion of the endoscopist. All cases of UGIB requiring HemosprayTM at Middlemore Hospital were identified to the investigator who undertook analysis of electronic and hard copy notes. Read More

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December 2016
46 Reads

Effective endoscopic treatment of Mallory-Weiss syndrome using Glasgow-Blatchford score and Forrest classification.

J Dig Dis 2016 Oct;17(10):676-684

Department of Clinical Epidemiology and Biostatistics, University of Ulsan College of Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, Seoul, Korea.

Objectives: There is limited data on whether scoring systems can be used to predict clinical outcomes in patients with upper gastrointestinal bleeding due to Mallory-Weiss syndrome (MWS). We aimed to evaluate whether the Glasgow-Blatchford score (GBS) could be effective in predicting clinical outcomes of bleeding MWS and to investigate the predictive ability of the Forrest classification for rebleeding and assess the effective endoscopic modalities for bleeding control in MWS.

Methods: From January 2004 to December 2012 168 patients were diagnosed with MWS in the Asan Medical Center Emergency Department. Read More

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October 2016
12 Reads
1.924 Impact Factor

Application of novel endoloops to close the defects resulted from endoscopic full-thickness resection with single-channel gastroscope: a multicenter study.

Surg Endosc 2017 02 28;31(2):837-842. Epub 2016 Jun 28.

Department of Gastroenterology, The First People's Hospital of Yancheng City, Yancheng, China.

Background: The key step of the endoscopic full-thickness resection (EFTR) procedure is the successful closure of any gastric wall defect which ultimately avoids surgical intervention. This report presents a new method of closing large gastric defects left after EFTR, using metallic clips and novel endoloops by means of single-channel endoscope.

Methods: We retrospectively analyzed 68 patients who were treated for gastric fundus gastrointestinal stromal tumors originating from the muscularis propria layer at four institutes between April 2014 and February 2015 and consequently underwent EFTR. Read More

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February 2017
11 Reads

Malory-Weis syndrome based on own experience - diagnostics and modern principles of management.

Authors:
Bartosz Cybułka

Pol Przegl Chir 2016 Mar;88(2):77-86

Unlabelled: Every gastrointestinal bleeding is an immediate threat to life, requiring close supervision in a hospital setting and making it mandatory to perform verification and endoscopic intervention. In some cases of a dynamic course, in order to make up deficiencies, it is necessary to use blood and blood products. One of the causes of bleeding located proximally to the ligament of Treitz is damage to the mucous membrane and deeper layers of the gastroesophageal junction, called Mallory-Weiss syndrome. Read More

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March 2016
3 Reads

Fasting for haemostasis in children with gastrointestinal bleeding.

Cochrane Database Syst Rev 2016 May 19(5):CD010714. Epub 2016 May 19.

Department of Pediatrics, West China Second University Hospital, West China Women's and Children's Hospital, No. 17 Section Three, Ren Min Nan Lu Avenue, Chengdu, Sichuan, China, 610041.

Background: Gastrointestinal bleeding refers to loss of blood from any site of the digestive tract. In paediatric clinical practice, it is usually a complaint of children attending the emergency department as a symptom of diseases such as ulcers, gastric or oesophageal varices, gastritis, Mallory-Weiss tears, anorectal fissures, allergic colitis, infectious colitis, intussusception, Henoch-Schonlein purpura, and Meckel's diverticulum; it also occurs with high incidence in critically ill children hospitalised in intensive care units and is caused by stress-induced gastropathy. No matter what the cause of gastrointestinal bleeding, fasting is believed to be necessary due to the fear that eating may affect haemostasis or aggravate bleeding. Read More

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May 2016
16 Reads

Upper gastrointestinal bleeding in children from a hospital center of Northeast Romania.

Minerva Pediatr 2016 Jun;68(3):189-95

Department of Pediatrics, St. Mary Children's Emergency Hospital, Jassy, Romania -

Background: The aim of this study was to investigate the common etiologies, clinical and biological patterns of upper gastrointestinal bleeding (UGIB) in children from a hospital center in Northeast Romania.

Methods: This seven-year retrospective study was performed from 2007 to 2013 in St. Mary Children's Emergency Hospital, Jassy, Romania and included all children who referred to our center with UGIB exteriorized by hematemesis or melena. Read More

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June 2016
7 Reads

The role of etiopathogenetic aspects in prediction and prevention of discontinuous-hemorrhagic (Mallory-Weiss) syndrome.

EPMA J 2016 20;7. Epub 2016 Mar 20.

Faculty of Dentistry, The Department of Faculty Dentistry, Voronezh N.N. Burdenko State Medical University, Avenue of Revolution Str. 14, Voronezh, Russia ; Streleckaja Bol'shaja, 20 B, 69, Voronezh, 394035 Russia.

The article contains an overview of the literature on Mallory-Weiss syndrome. It analyzes numerous etiological factors, provides new insights into the pathogenesis of the disease, gives a description of a previously unknown dependence of discontinuous-hemorrhagic syndrome on the topographic and structural features of the cardioesophageal area of the digestive tract, and gives scientific credence to methods of prediction, prevention, and treatment of the syndrome with complex involvement of granular sorbents. Read More

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March 2016
6 Reads

Risk Factors Associated with Mortality and Increased Drug Costs in Nonvariceal Upper Gastrointestinal Bleeding.

Hepatogastroenterology 2015 Jun;62(140):907-12

Background/aims: To determine risk factors associated with mortality and increased drug costs in patients with nonvariceal upper gastrointestinal bleeding.

Methodology: We retrospectively analyzed data from patients hospitalized with nonvariceal upper gastrointestinal bleeding between January 2001-December 2011. Demographic and clinical characteristics and drug costs were documented. Read More

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June 2015
23 Reads

Case with a Nonreassuring Fetal Status Induced by Massive Hematemesis due to Mallory-Weiss Tear That Required Emergency Cesarean Section at 38 Weeks' Gestation.

Case Rep Obstet Gynecol 2015 31;2015:762463. Epub 2015 Dec 31.

Division of Perinatology, Fetal Diagnosis and Therapy, Maternal and Perinatal Care Center, Seirei Hamamatsu General Hospital, 2-12-12 Sumiyoshi, Hamamatsu 430-8558, Japan.

We describe a rare case of Mallory-Weiss tear with massive hematemesis at 38 weeks' gestation. A 35-year-old woman presented with epigastralgia followed by massive hematemesis. An emergency endoscopy indicated active pulsatile bleeding at the esophagocardial junction. Read More

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February 2016
10 Reads

Tulip-bundle technique as rescue hemostatic therapy in a deep Mallory-Weiss tear.

Endoscopy 2016 1;48 Suppl 1 UCTN:E42-3. Epub 2016 Feb 1.

Department of Gastroenterology, Centro Hospitalar Vila Nova de Gaia, Espinho, Portugal.

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October 2016
4 Reads

Old technique revisited with surgical innovation: complicated Mallory-Weiss tear with bleeding gastric ulcer exclusion.

J Surg Case Rep 2016 Jan 11;2016(1). Epub 2016 Jan 11.

Department of Surgery, Epworth Richmond Hospital, Victoria, Melbourne, Australia.

Mallory-Weiss tears (MWTs) rarely require surgical intervention. A 60-year-old female presented with massive hematemesis secondary to MWT and gastric ulceration. After failure of endoscopic management, an operative approach was embarked on, with a direct surgical hemostasis of the Mallory-Weiss tear and exclusion of the gastric ulcer. Read More

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January 2016
10 Reads

Distinctive aspects of peptic ulcer disease, Dieulafoy's lesion, and Mallory-Weiss syndrome in patients with advanced alcoholic liver disease or cirrhosis.

World J Gastroenterol 2016 Jan;22(1):446-66

Borko Nojkov, Mitchell S Cappell, Division of Gastroenterology and Hepatology, William Beaumont Hospital, Royal Oak, MI 48073, United States.

Aim: To systematically review the data on distinctive aspects of peptic ulcer disease (PUD), Dieulafoy's lesion (DL), and Mallory-Weiss syndrome (MWS) in patients with advanced alcoholic liver disease (aALD), including alcoholic hepatitis or alcoholic cirrhosis.

Methods: Computerized literature search performed via PubMed using the following medical subject heading terms and keywords: "alcoholic liver disease", "alcoholic hepatitis"," alcoholic cirrhosis", "cirrhosis", "liver disease", "upper gastrointestinal bleeding", "non-variceal upper gastrointestinal bleeding", "PUD", ''DL'', ''Mallory-Weiss tear", and "MWS''.

Results: While the majority of acute gastrointestinal (GI) bleeding with aALD is related to portal hypertension, about 30%-40% of acute GI bleeding in patients with aALD is unrelated to portal hypertension. Read More

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January 2016
18 Reads

Ileal Intussusception Due to Metastasis from Squamous Cell Carcinoma of the Lung Resected 12 Years Previously.

Tokai J Exp Clin Med 2015 Dec 20;40(4):137-40. Epub 2015 Dec 20.

Department of Surgery, Tokai University Tokyo Hospital, 1-2-5 Yoyogi, Shibuya-ku, Tokyo 151-0053, Japan.

An 88-year-old woman, with a history of resection of stage IIA lung cancer in 1998, was referred to our hospital in August 2010 complaining of upper abdominal pain, vomiting, and dark brown stools. After endoscopic examination, she was admitted with a diagnosis of Mallory-Weiss syndrome. Vomiting occurred when food intake was resumed after fasting. Read More

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December 2015
8 Reads

Diagnosis and therapy of non-variceal upper gastrointestinal bleeding.

Authors:
Erwin Biecker

World J Gastrointest Pharmacol Ther 2015 Nov;6(4):172-82

Erwin Biecker, Department of Gastroenterology, Zollernalb Klinikum, 72336 Balingen, Germany.

Non-variceal upper gastrointestinal bleeding (UGIB) is defined as bleeding proximal to the ligament of Treitz in the absence of oesophageal, gastric or duodenal varices. The clinical presentation varies according to the intensity of bleeding from occult bleeding to melena or haematemesis and haemorrhagic shock. Causes of UGIB are peptic ulcers, Mallory-Weiss lesions, erosive gastritis, reflux oesophagitis, Dieulafoy lesions or angiodysplasia. Read More

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November 2015
14 Reads

Outcomes of Propofol Sedation During Emergency Endoscopy Performed for Upper Gastrointestinal Bleeding.

Dig Dis Sci 2016 Mar 5;61(3):825-34. Epub 2015 Nov 5.

Department of Internal Medicine, Guri Hospital, Hanyang University College of Medicine, 153 Gyeongchun-ro, Guri, 471-701, Republic of Korea.

Background: Although propofol-based sedation can be used during emergency endoscopy for upper gastrointestinal bleeding (UGIB), there is a potential risk of sedation-related adverse events, especially in patients with variceal bleeding.

Aim: We compared adverse events related to propofol-based sedation during emergency endoscopy between patients with non-variceal and variceal bleeding.

Methods: Clinical records of patients who underwent emergency endoscopy for UGIB under sedation were reviewed. Read More

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March 2016
8 Reads

Circumferential distribution and location of Mallory-Weiss tears: recent trends.

Endosc Int Open 2015 Oct 24;3(5):E418-24. Epub 2015 Jun 24.

Department of Gastroenterology and Hepatology, Shimane University School of Medicine, Izumo, Japan.

Background And Study Aims: Mallory-Weiss tears (MWTs) are not only a common cause of acute nonvariceal gastrointestinal bleeding but also an iatrogenic adverse event related to endoscopic procedures. However, changes in the clinical characteristics and endoscopic features of MWTs over the past decade have not been reported. The aim of this study was to investigate recent trends in the etiology and endoscopic features of MWTs. Read More

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October 2015
5 Reads

Risk Factors for Aspiration Pneumonia After Endoscopic Hemostasis.

Dig Dis Sci 2016 Mar 30;61(3):835-40. Epub 2015 Oct 30.

Department of Gastroenterology, Mitsui Memorial Hospital, 1 Kanda-Izumi-cho, Chiyoda-ku, Tokyo, 101-8643, Japan.

Background: Although all types of endoscopic procedures harbor risk of aspiration, little is understood about risk factors for aspiration pneumonia developing after endoscopic hemostasis.

Aims: The present study aimed to identify risk factors for aspiration pneumonia after endoscopic hemostasis.

Methods: Charts from consecutive patients with upper gastrointestinal bleeding that had been treated by endoscopic hemostasis at a single center between January 2004 and January 2015 were retrospectively reviewed. Read More

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March 2016
6 Reads

Gel immersion endoscopy: a novel method to secure the visual field during endoscopy in bleeding patients (with videos).

Gastrointest Endosc 2016 Apr 14;83(4):809-11. Epub 2015 Oct 14.

Division of Gastroenterology, Department of Medicine, Jichi Medical University, Tochigi, Japan.

Background And Aims: It is difficult to secure the visual field during endoscopy for GI bleeding or colonoscopy without preparation because the injected water is rapidly mixed with fresh blood or stool. We developed a novel method to secure the visual field in these situations.

Methods: Clear gel with the appropriate viscosity to prevent rapid mixing is injected through the accessory channel, instead of water. Read More

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April 2016
22 Reads

Lesions of the oesophageal mucosa and their causes.

Authors:

Prescrire Int 2015 Sep;24(163):212

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September 2015
8 Reads

ENDOSCOPIC FINDINGS OF UPPER GASTROINTESTINAL BLEEDING IN PATIENTS WITH LIVER CIRROSIS.

J Ayub Med Coll Abbottabad 2015 Apr-Jun;27(2):391-4

Background: Acute upper gastrointestinal (GI) bleeding is a common medical emergency. A common risk factor of upper GI bleeding is cirrhosis of liver, which can lead to variceal haemorrhage. 30-40% of cirrhotic patients who bleed may have non-variceal upper GI bleeding and it is frequently caused by peptic ulcers, portal gastropathy, Mallory-Weiss tear, and gastroduodenal erosions. Read More

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October 2015
6 Reads

Asymptomatic Free Air Caused by Mallory-Weiss Tears during Endoscopy.

Intern Med 2015 1;54(15):1865-8. Epub 2015 Aug 1.

Division of Gastroenterology, Department of Internal Medicine, Hyogo College of Medicine, Japan.

An 80-year-old woman was referred to our hospital for the treatment of advanced gastric cancer which extended from the antrum to the bulbus of the duodenum. Although the patient did not struggle or retch during endoscopy, multiple mucosal lacerations were observed in the proximal stomach by Mallory-Weiss tears. No evidence of perforation was identified at the sites. Read More

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March 2016
5 Reads

Hiccups: An Unappreciated Cause of the Mallory-Weiss Syndrome.

Authors:
Joel D Brown

Am J Med 2015 Dec 29;128(12):e19-20. Epub 2015 Jul 29.

Department of Internal Medicine, The Queens Medical Center and University of Hawaii John A. Burns School of Medicine, Honolulu. Electronic address:

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December 2015
1 Read

Safety and efficacy of carbon dioxide insufflation during gastric endoscopic submucosal dissection.

World J Gastroenterol 2015 Jul;21(26):8195-202

Jun Takada, Hiroshi Araki, Fumito Onogi, Takayuki Nakanishi, Masaya Kubota, Takashi Ibuka, Masahito Shimizu, Hisataka Moriwaki, Department of Gastroenterology, Gifu University Graduate School of Medicine, Gifu 5011194, Japan.

Aim: To compare the safety and efficacy of carbon dioxide (CO2) and air insufflation during gastric endoscopic submucosal dissection (ESD).

Methods: This study involved 116 patients who underwent gastric ESD between January and December 2009. After eliminating 29 patients who fit the exclusion criteria, 87 patients, without known pulmonary dysfunction, were randomized into the CO2 insufflation (n = 36) or air insufflation (n = 51) groups. Read More

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July 2015
13 Reads

Mallory-Weiss Tear in the Duodenum.

ACG Case Rep J 2014 Jul 8;1(4):204-5. Epub 2014 Jul 8.

Department of Internal Medicine, University of Texas Health Science Center, Houston, TX ; Division of Gastroenterology, Hepatology, and Nutrition, University of Texas Health Science Center, Houston, TX.

Mallory-Weiss tears are mucosal lacerations caused by forceful retching and are typically located at the gastroesophageal junction. Mallory-Weiss tears have not been described in the duodenum. We report of a Mallory-Weiss tear in the descending duodenum of a 57-year-old man who presented with hematemesis preceded by forceful retching. Read More

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July 2014
4 Reads

A Mallory-Weiss tear treated with transarterial embolization complicated by disseminated intravascular coagulation.

Endoscopy 2015 22;47 Suppl 1 UCTN:E247-8. Epub 2015 Jun 22.

Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea.

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March 2016
8 Reads

The predictive capacity of the Glasgow-Blatchford score for the risk stratification of upper gastrointestinal bleeding in an emergency department.

Rev Esp Enferm Dig 2015 May;107(5):262-7

Objectives: To assess the ability of the Glasgow Blatchford Score (GBS) system to identify the need for urgent upper gastrointestinal endoscopy (UGIE) in patients with upper gastrointestinal bleeding (UGIB).

Methods: An observational, retrospective study was carried out in all patients attended at the ER for suspected UGIB in one year. Patients were split into two categories -high-risk (>2) and low-risk ( < or = 2)- by means of the GBS system. Read More

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May 2015
25 Reads

[The role of surrogate alcoholic beverages in the development of hemorrhage in the patients presenting with Mallory-Weiss syndrome].

Sud Med Ekspert 2015 Jan-Feb;58(1):22-25

Kafedra nervnyh boleznej lechebnogo fakul'teta Moskovskogo gosudarstvennogo mediko-stomatologicheskogo universiteta im. A.I. Evdokimova, Moskva, Rossija, 125289.

The objective of the present work was to study the pathological changes in various organs and tanatogenesis associated with Mallory-Weiss syndrome making use of the forensic medical and clinical materials. It was shown that the main cause of unrestrained vomiting resulting from alcoholic intoxication and leading to perfusive bleeding is not only the direct action of ethanol and surrogate alcohol on gastroesophageal mucosa and induced thrombocytopenia. Another cause may be brain oedema with subsequent cerebral herniation and irritation of the pseudobulbar centres responsible for the initiation of the vomiting reflex. Read More

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May 2015
5 Reads

Mallory-Weiss Tear during Esophagogastroduodenoscopy.

Case Rep Gastroenterol 2015 Jan-Apr;9(1):62-7. Epub 2015 Feb 28.

Department of Internal Medicine, Konkuk University School of Medicine, Seoul, Korea.

Mallory-Weiss tears (MWTs) are mucosal lacerations caused by forceful retching and are typically located at the gastroesophageal junction. Reported cases of MWT with serious complications seen in esophagogastroduodenoscopy are limited. We report MWT in an 81-year-old woman who presented with gastric perforation by esophagogastroduodenoscopy. Read More

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April 2015
3 Reads