Öz
Endoskopik hemostaz metotları Mallory-Weiss Sendromuna ba¤lı üst gastrointestinal kanamalarda güvenli ve etkin bir yaklaşım olarak kabul edilmektedir. Kronik öksürü¤ü olan 62 yaşındaki bir erkek hasta ve 27 yaşında 10 haftalık gebe hasta klini¤imize ciddi hematemez bulgularıyla başvurdu. Bu hastalara üst gastrointestinal endoskopi uygulandı ve Mallory Weiss sendromu tanısı kondu. İşlem sırasında koagülum ve visible vessel görüldü ve bu lezyonlara argon plazma koagülasyonu uygulandı. Argon plazma koagülasyonu sonrasında tam bir kanama kontrolü sa¤landı ve takipte kanama tekrarlamadı. Sonuç olarak argon plazma koagülasyonu aktif kanayan non fibrotik Mallory-Weis sendromu olan hastalarda gecikmiş hemoraji ve perforasyon gibi minimal komplikasyon riskiyle kolaylıkla uygulanabilir.
Anahtar Kelimeler
Kaynakça
- Morales P, Baum AE. Therapeutic alternatives for the Mallory-Weiss te- ar. Curr Treat Options Gastroenterol 2003; 6: 75-83.
- Sugawa C, Benishek D, Walt AJ. Mallory-Weiss syndrome. A study of 224 patients. Am J Surg 1983; 145: 30-3.
- Huang SP, Wang HP, Lee YC, et al. Endoscopic hemoclip placement and epinephrine injection for Mallory-Weiss syndrome with active bleeding. Gastrointest Endosc 2002; 55: 842-6.
- Paquet KJ, Mercado-Diaz M, Kalk JF. Frequency, significance and the- rapy of the Mallory-Weiss syndrome in patients with portal hypertensi- on. Hepatology 1990; 11: 879-83.
- Penston JG, Boyd EJ, Wormsley KG. Mallory-Weiss tears occurring du- ring endoscopy: a report of seven cases. Endoscopy 1992; 24: 262-5.
- Knauer CM. Mallory-Weiss syndrome, characterization of 75 Mallory- Weiss lacerations in 528 patients with upper gastrointestinal hemorrha- ge. Gastroenterology 1976; 71: 5-8.
- Higuchi N, Akahoshi K, Sumida Y, et al. Endoscopic band ligation the- rapy for upper gastrointestinal bleeding related to Mallory-Weiss syndrome. Surg Endosc 2006; 20: 1431-4.
- Gevers AM, De Goede E, Simoens M, Hiele M, Rutgeerts P. A randomi- zed trial comparing injection therapy with hemoclip and with injection combined with hemoclip for bleeding ulcers. Gastrointest Endosc 2002; 55: 466-9.
- Farin G, Grund KE. Technology of argon plasma coagulation with parti- cular regard to endoscopic applications. Endosc Surg Allied Technol 1994; 2: 71-7.
- Chung IK, Kim EJ, Hwang KY, et al. Evaluation of endoscopic hemosta- sis in upper gastrointestinal bleeding related to Mallory–Weiss syndro- me. Endoscopy 2002; 34: 474-9.
- Park CH, Min SW, Sohn YH, et al. A prospective, randomized trial of en- doscopic band ligation vs epinephrine injection for actively bleeding Mallory–Weiss syndrome. Gastrointest Endosc 2004; 60: 22-7.
- Matsui S, Kamisako T, Kudo M, Inoue R. Endoscopic band ligation for control of nonvariceal upper GI hemorrhage: comparison with bipolar electrocoagulation. Gastrointest Endosc 2002; 55: 214-8.
- Vargo JJ. Clinical applications of the argon plasma coagulator. Gastroin- test Endosc 2004; 59: 81-8.
Öz
The endoscopic hemostatic method has been introduced as a safe and effective mechanical approach to hemostasis for upper gastrointestinal bleeding related to Mallory-Weiss syndrome. A 62-year-old male patient with chronic cough and a 27-year-old 10-week pregnant female were admitted to our clinic with gross hematemesis. Upper gastrointestinal endoscopy was performed and Mallory-Weiss syndrome was diagnosed. Coagulum and visible vessels were observed during the procedure. Argon plasma coagulation was applied. After argon plasma coagulation, complete hemostasis was achieved and rebleeding did not occur. In conclusion, argon plasma coagulation can be performed easily and with minimum risk of complications such as perforation or delayed hemorrhage in patients with actively bleeding non-fibrotic Mallory-Weiss syndrome.
Anahtar Kelimeler
Kaynakça
- Morales P, Baum AE. Therapeutic alternatives for the Mallory-Weiss te- ar. Curr Treat Options Gastroenterol 2003; 6: 75-83.
- Sugawa C, Benishek D, Walt AJ. Mallory-Weiss syndrome. A study of 224 patients. Am J Surg 1983; 145: 30-3.
- Huang SP, Wang HP, Lee YC, et al. Endoscopic hemoclip placement and epinephrine injection for Mallory-Weiss syndrome with active bleeding. Gastrointest Endosc 2002; 55: 842-6.
- Paquet KJ, Mercado-Diaz M, Kalk JF. Frequency, significance and the- rapy of the Mallory-Weiss syndrome in patients with portal hypertensi- on. Hepatology 1990; 11: 879-83.
- Penston JG, Boyd EJ, Wormsley KG. Mallory-Weiss tears occurring du- ring endoscopy: a report of seven cases. Endoscopy 1992; 24: 262-5.
- Knauer CM. Mallory-Weiss syndrome, characterization of 75 Mallory- Weiss lacerations in 528 patients with upper gastrointestinal hemorrha- ge. Gastroenterology 1976; 71: 5-8.
- Higuchi N, Akahoshi K, Sumida Y, et al. Endoscopic band ligation the- rapy for upper gastrointestinal bleeding related to Mallory-Weiss syndrome. Surg Endosc 2006; 20: 1431-4.
- Gevers AM, De Goede E, Simoens M, Hiele M, Rutgeerts P. A randomi- zed trial comparing injection therapy with hemoclip and with injection combined with hemoclip for bleeding ulcers. Gastrointest Endosc 2002; 55: 466-9.
- Farin G, Grund KE. Technology of argon plasma coagulation with parti- cular regard to endoscopic applications. Endosc Surg Allied Technol 1994; 2: 71-7.
- Chung IK, Kim EJ, Hwang KY, et al. Evaluation of endoscopic hemosta- sis in upper gastrointestinal bleeding related to Mallory–Weiss syndro- me. Endoscopy 2002; 34: 474-9.
- Park CH, Min SW, Sohn YH, et al. A prospective, randomized trial of en- doscopic band ligation vs epinephrine injection for actively bleeding Mallory–Weiss syndrome. Gastrointest Endosc 2004; 60: 22-7.
- Matsui S, Kamisako T, Kudo M, Inoue R. Endoscopic band ligation for control of nonvariceal upper GI hemorrhage: comparison with bipolar electrocoagulation. Gastrointest Endosc 2002; 55: 214-8.
- Vargo JJ. Clinical applications of the argon plasma coagulator. Gastroin- test Endosc 2004; 59: 81-8.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ağustos 2011 |
| Yayımlandığı Sayı | Yıl 2011 Cilt: 19 Sayı: 2 |