Kim Hyun-Soo
Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
Clin Endosc. 2015 Mar;48(2):102-5. doi: 10.5946/ce.2015.48.2.102. Epub 2015 Mar 27.
Mallory-Weiss tearing (MWT) is a common cause of non-variceal upper gastrointestinal bleeding. Although the majority of patients with bleeding MWT require no intervention other than hemodynamic supports, spectrum of MWT is wide, and the condition sometimes results in a fatal outcome. Endoscopic management to stop the bleeding may be required during the index endoscopy, especially in those with active bleeding or stigmata of recurrent bleeding. Most commonly used endoscopic treatment for actively bleeding MWT is injection therapy, argon plasma coagulation, hemoclip placement, and band ligation. Selection of the optimal endoscopic hemostasis depends on the physician's ability and patient's clinical status.
马洛里-魏斯撕裂（MWT）是引起非静脉曲张性上消化道出血的常见原因。尽管大多数出血性MWT患者除血流动力学支持外无需其他干预，但MWT的范围很广，有时会导致致命后果。在初次内镜检查期间可能需要进行内镜处理以止血，尤其是对于那些有活动性出血或再出血迹象的患者。对于活动性出血的MWT，最常用的内镜治疗方法是注射治疗、氩离子凝固术、放置止血夹和套扎术。选择最佳的内镜止血方法取决于医生的能力和患者的临床状况。
