Clinical Features of Iatrogenic Mallory-Weiss Syndrome.
- Author:
In Key CHOI
1
;
Sun Moon KIM
;
Jae Hyung SUN
;
Sang Yeol CHEON
;
Dae Seung LIM
;
Young Suk KIM
;
Tae Hee LEE
;
Euyi Hyeog IM
;
Kyu Chan HUH
;
Young Woo CHOI
;
Young Woo KANG
Author Information
1. Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea. islkim@hanmail.net
- Publication Type:Original Article
- Keywords:
Iatrogenic;
Mallory-Weiss syndrome;
Clinical features
- MeSH:
Endoscopy;
Eructation;
Hemostasis, Endoscopic;
Hernia, Hiatal;
Humans;
Male;
Mallory-Weiss Syndrome;
Prognosis;
Retrospective Studies;
Risk Factors
- From:Korean Journal of Gastrointestinal Endoscopy
2009;39(2):72-77
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND/AIMS: The detection of iatrogenic Mallory-Weiss syndrome during the course of upper GI endoscopy is apparently rare. The aim of this study was identify the clinical features of the disease and associated medical conditions. METHODS: We retrospectively analyzed 46 cases (0.08%) of iatrogenic Mallory- Weiss syndrome identified from 54,188 consecutive upper GI endoscopies performed at our institution during a period of 85 months. RESULTS: A total of 36 patients (78.2%) had retching or belching during the procedure. Hiatal hernias were noted in 20 patients (43.5%). We identified a difference of the attack rate by sex and age for iatrogenic Mallory-Weiss syndrome; the disorder developed predominantly in men. All of the patients had a mucosal tear and oozing and 16 patients underwent endoscopic hemostasis. After being diagnosed with iatrogenic Mallory-Weiss syndrome, 17 patients underwent follow- up endoscopy and all of the patients showed good results without rebleeding. No patient showed a complicated clinical course. CONCLUSIONS: A small number of patients had iatrogenic Mallory-Weiss syndrome and most of the patients showed a good prognosis. If there is a predictable risk factor identified during an upper GI endoscopy or an associated medical condition, special care needs to be taken to minimize belching or retching.
