eISSN: 2299-0054
ISSN: 1895-4588
Videosurgery and Other Miniinvasive Techniques
Current issue Archive Videoforum Manuscripts accepted About the journal Supplements Abstracting and indexing Subscription Contact Instructions for authors
SCImago Journal & Country Rank


1/2019
vol. 14
 
Share:
Share:
more
 
 
abstract:
Case report

Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection

Jing Wen, Jing Yang, Zhongsheng Lu, Xuqiang Bian, Jin Huang

Videosurgery Miniinv 2019; 14 (1): 133–136
Online publish date: 2018/05/30
View full text
Get citation
ENW
EndNote
BIB
JabRef, Mendeley
RIS
Papers, Reference Manager, RefWorks, Zotero
AMA
APA
Chicago
Harvard
MLA
Vancouver
 
There are no previous reports of Mallory-Weiss tears occurring as complications during esophageal endoscopic submucosal dissection (ESD). We present 3 cases of Mallory-Weiss tears occurring during treatment of superficial squamous cell neoplasms through ESD. Carbon dioxide was used for air insufflation, and the patient was adequately sedated without retching or struggling during the operation. No significant bleeding from the lesion was observed during ESD; however, active bleeding caused by the Mallory-Weiss tear was identified endoscopically. Bleeding was controlled by closure of the tear with metal clips or repeated flushing with adrenaline saline. Hemorrhage did not recur until completion of the operation. Therefore, during the operation, it is necessary to maintain adequate depth of anesthesia and reduce the operation time, and also reduce air and water injections, to avoid occurrence of such complications.
keywords:

Mallory-Weiss tear, complication, endoscopic submucosal dissection

references:
Oyama T, Tomori A, Hotta K, et al. Endoscopic submucosal dissection of early esophageal cancer. Clin Gastroenterol Hepatol 2005; 3 (7 Suppl 1): S67-70.
Fujishiro M, Yahagi N, Kakushima N, et al. Endoscopic submucosal dissection of esophageal squamous cell neoplasms. Clin Gastroenterol Hepatol 2006; 4: 688-94.
Kim M, Jeon SW, Cho KB, et al. Predictive risk factors of perforation in gastric endoscopic submucosal dissection for early gastric cancer: a large, multicenter study. Surg Endosc 2013; 27: 1372-8.
Hongou H, Fu K, Ueyama H, et al. Mallory-Weiss tear during gastric endoscopic submucosal dissection. World J Gastrointest Endosc 2011; 3: 151-3.
Weaver DH, Maxwell JG, Castleton KB. Mallory-Weiss syndrome. Am J Surg 1969; 118: 887-92.
Penston JG, Boyd EJS, Wormsley KG. Mallory-Weiss tears occurring during endoscopy: a report of seven case. Endoscopy 1992; 24: 262-5.
Sugawa C, Benishek D, Walt AJ. Mallory-Weiss syndrome. A study of 224 patients. Am J Surg 1983; 145: 30-3.
Brown JD. Hiccups: an unappreciated cause of the Mallory-Weiss syndrome. Am J Med 2015; 128: e19-20.
Maeda Y, Hirasawa D, Fujita N, et al. A prospective, randomized, double-blind, controlled trial on the efficacy of carbon dioxide insufflation in gastric endoscopic submucosal dissection. Endoscopy 2013; 45: 335-41.
Takada J, Araki H, Onogi F, et al. Safety and efficacy of carbon dioxide insufflation during gastric endoscopic submucosal dissection. World J Gastroenterol 2015; 21: 8195-202.
  
Quick links
© 2019 Termedia Sp. z o.o. All rights reserved.
Developed by Bentus.
PayU - płatności internetowe