A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome.

Abstract:

BACKGROUND:Effective hemostatic treatment is mandatory for patients with actively bleeding Mallory-Weiss syndrome. This study evaluated the respective efficacy and the safety of endoscopic band ligation and endoscopic epinephrine injection in Mallory-Weiss syndrome. METHODS:Thirty-four consecutive patients with actively bleeding Mallory-Weiss syndrome were prospectively enrolled and were randomly assigned to undergo endoscopic band ligation or endoscopic injections of a 1:10,000 solution of epinephrine. Demographic characteristics, endoscopic variables, and outcome parameters, including rates of hemostasis and recurrent bleeding, were analyzed. RESULTS:The number of elastic bands applied was one or two; the mean volume of epinephrine injected was 18.0 mL: 95% CI[16.8, 19.2]. There was no significant difference between the groups with respect to age, gender, alcohol ingestion, presenting symptoms, Hb level, shock, comorbid diseases, coagulopathy, tear location, blood transfusion, or duration of hospitalization. Primary hemostasis was achieved in all 17 patients in the band ligation group and in 16 of 17 patients (94.1%) in the epinephrine injection group. There was no recurrence of bleeding or major complication in either group. CONCLUSIONS:In this small study, no difference was detected in the efficacy or the safety of band ligation vs. epinephrine injection for the treatment of actively bleeding Mallory-Weiss syndrome.

journal_name

Gastrointest Endosc

authors

Park CH,Min SW,Sohn YH,Lee WS,Joo YE,Kim HS,Choi SK,Rew JS,Kim SJ

doi

10.1016/s0016-5107(04)01284-2

keywords:

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

22-7

issue

1

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(04)01284-2

journal_volume

60

pub_type

临床试验,杂志文章,随机对照试验
  • Electronic chromoendoscopy.

    abstract::Electronic chromoendoscopy technologies provide image enhancement and may improve the diagnosis of mucosal lesions. Although strides have been made in standardization of image characterization, especially with NBI, further image-to-pathology correlation and validation are required. There is promise for the development...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2014.06.020

    authors: ASGE Technology Committee.,Manfredi MA,Abu Dayyeh BK,Bhat YM,Chauhan SS,Gottlieb KT,Hwang JH,Komanduri S,Konda V,Lo SK,Maple JT,Murad FM,Siddiqui UD,Wallace MB,Banerjee S

    更新日期:2015-02-01 00:00:00

  • Transluminal endosurgery: single lumen access anastomotic device for flexible endoscopy.

    abstract:BACKGROUND:Forming anastomoses between two hollow organs at flexible endoscopy might reduce the need for surgery for obstructing malignancy. Current methods require access to both lumens. The aim of this work was to develop methods of forming an anastomosis at flexible endoscopy, such as a gastrojejunostomy or cholecys...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/s0016-5107(03)02006-6

    authors: Fritscher-Ravens A,Mosse CA,Mukherjee D,Mills T,Park PO,Swain CP

    更新日期:2003-10-01 00:00:00

  • Risk of sedation for upper GI endoscopy exacerbating subclinical hepatic encephalopathy in patients with cirrhosis.

    abstract:BACKGROUND:The risk of exacerbating subclinical hepatic encephalopathy associated with the administration of sedative drugs in patients with cirrhosis undergoing diagnostic upper gastrointestinal (GI) endoscopy for portal hypertension remains to be determined. METHODS:Ten adult patients with cirrhosis completed number...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1016/s0016-5107(99)70283-x

    authors: Assy N,Rosser BG,Grahame GR,Minuk GY

    更新日期:1999-06-01 00:00:00

  • EUS-guided FNA for the diagnosis of GI stromal cell tumors: sensitivity and cytologic yield.

    abstract:BACKGROUND:EUS-guided FNA has been well documented to aid in the diagnosis of subepithelial lesions by providing cytologic material. Studies to date evaluating the sensitivity of EUS-FNA for the diagnosis of GI stromal cell tumors (GIST) have been small, and few have relied on surgical histologic diagnosis as the refer...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.11.038

    authors: Sepe PS,Moparty B,Pitman MB,Saltzman JR,Brugge WR

    更新日期:2009-08-01 00:00:00

  • Endoscopic management of dumping syndrome after Roux-en-Y gastric bypass: a large international series and proposed management strategy.

    abstract:BACKGROUND AND AIMS:Roux-en-Y gastric bypass (RYGB) is refractory to lifestyle and pharmacotherapy measures, requiring reversal of the patient's bariatric surgery. Reversal can lead to weight regain and recrudescence of their comorbidities. Our aim was to report a multicenter experience on the endoscopic management of ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.02.029

    authors: Vargas EJ,Abu Dayyeh BK,Storm AC,Bazerbachi F,Matar R,Vella A,Kellogg T,Stier C

    更新日期:2020-07-01 00:00:00

  • Adverse events during monitored anesthesia care for GI endoscopy: an 8-year experience.

    abstract:BACKGROUND:The importance of sedation during endoscopy is well established. There is no consensus about the best techniques for sedation, which specialist should perform it, and in which location. OBJECTIVE:To provide data on the epidemiology of adverse events during sedation for endoscopy. DESIGN:Retrospective analy...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.04.028

    authors: Agostoni M,Fanti L,Gemma M,Pasculli N,Beretta L,Testoni PA

    更新日期:2011-08-01 00:00:00

  • Endoscopic imaging and size estimation of colorectal adenomas in the multiple intestinal neoplasia mouse.

    abstract:BACKGROUND:The scientific potential of animal models of carcinogenesis has not been fully realized because of our limited ability to monitor tumor growth in vivo. OBJECTIVE:To develop an endoscopy-based protocol for the accurate estimation of adenoma size in vivo from images obtained during colonoscopy. DESIGN:To com...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2008.09.054

    authors: Hensley HH,Merkel CE,Chang WC,Devarajan K,Cooper HS,Clapper ML

    更新日期:2009-03-01 00:00:00

  • Forceful balloon dilation: an outpatient procedure for achalasia.

    abstract::The initial treatment of choice in patients with achalasia is balloon dilation. Heretofore, this procedure was performed on an in-hospital basis resulting in high patient cost. This study evaluated the safety and efficacy of pneumatic dilation as an outpatient procedure. Sixty-one procedures were performed on 50 patie...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(90)70964-9

    authors: Barkin JS,Guelrud M,Reiner DK,Goldberg RI,Phillips RS

    更新日期:1990-03-01 00:00:00

  • Width and depth of resection for small colorectal polyps: hot versus cold snare polypectomy.

    abstract:BACKGROUND AND AIMS:Curability is associated with resection width and depth in polypectomy. We evaluated the resection width and depth achieved with hot snare polypectomy (HSP) and cold snare polypectomy (CSP) for small colorectal polyps. METHODS:In this single-center, prospective, randomized controlled study, patient...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2017.10.041

    authors: Suzuki S,Gotoda T,Kusano C,Ikehara H,Sugita A,Yamauchi M,Moriyama M

    更新日期:2018-04-01 00:00:00

  • Factors predictive of difficult colonoscopy.

    abstract:BACKGROUND:Prediction of a technically difficult colonoscopy may influence patient selection and procedure scheduling. Identification of predictive factors may be difficult because a common endpoint used to evaluate the success of colonoscopy is intubation of the cecum, which is usually achieved. The goal of this study...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.118950

    authors: Anderson JC,Messina CR,Cohn W,Gottfried E,Ingber S,Bernstein G,Coman E,Polito J

    更新日期:2001-11-01 00:00:00

  • Does the addition of methylene blue to the sclerosant improve the accuracy of injections during variceal sclerotherapy?

    abstract::We evaluated the possibility that the addition of methylene blue to the sclerosant would improve the accuracy of intravariceal injections during endoscopic variceal sclerotherapy. Four patients had eight sessions of endoscopic variceal sclerotherapy with a sclerosant containing a combination of 3% sodium tetradecyl an...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(91)70676-7

    authors: Waring JP,Sanowski RA,Pardy K,Talbert G,Chinichian A

    更新日期:1991-03-01 00:00:00

  • Snare cautery debridement prior to Nd:YAG photoablation improves treatment efficiency of broad-based adenomas of the colorectum.

    abstract::Forty-six patients who underwent piecemeal resection of large, sessile villous adenomas followed by immediate laser photoablative therapy are presented. In contrast to previously published series utilizing laser alone, prior snare resection of such lesions provides copious tissue for histologic analysis, decreases the...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(89)72793-0

    authors: Low DE,Kozarek RA

    更新日期:1989-07-01 00:00:00

  • Endoscopic spray cryotherapy: a new technique for mucosal ablation in the esophagus.

    abstract:BACKGROUND:A simple and safe method for controlled ablation of esophageal mucosa is not currently available. Therefore, an endoscopic cryotherapy device was developed and its efficacy and safety were assessed in a swine model. METHODS:The device consists of a cryogenic system that delivers cold nitrogen gas via a cath...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(99)70352-4

    authors: Johnston CM,Schoenfeld LP,Mysore JV,Dubois A

    更新日期:1999-07-01 00:00:00

  • A novel balloon pull-through technique for esophageal dilation in eosinophilic esophagitis (with video).

    abstract:BACKGROUND:Eosinophilic esophagitis (EoE) is a chronic inflammatory condition that can be complicated by esophageal strictures requiring endoscopic dilation. Whereas recent data have advanced the notion that dilation can be done effectively with minimal morbidity, issues concerning safety and tolerability remain. OBJE...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2010.09.034

    authors: Madanick RD,Shaheen NJ,Dellon ES

    更新日期:2011-01-01 00:00:00

  • Bacteremia during esophageal variceal sclerotherapy: its cause and prevention.

    abstract::Eleven consecutive patients underwent a total of 34 esophageal variceal sclerotherapy (EVS) sessions for bleeding esophageal varices. Blood cultures were drawn pre-, intra-, and post-EVS. All pre- and post-EVS blood cultures were negative. Five of the initial nine patients studied were found to have positive blood cul...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(85)71955-4

    authors: Brayko CM,Kozarek RA,Sanowski RA,Testa AW

    更新日期:1985-02-01 00:00:00

  • Omeprazole administration does not impair gastrointestinal mucosal perfusion, oxygenation, and hexosamine generation.

    abstract::Omeprazole is a potent antisecretory drug that acts by inhibiting the gastric proton pump. In the present study, we have observed the effects of this drug on gastrointestinal mucosal perfusion, oxygenation, and hexosamine generation in humans. Sixteen healthy volunteers were included. Gastrointestinal mucosal perfusio...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(05)80010-0

    authors: Iwao T,Toyonaga A,Shigemori H,Ikegami M,Tanikawa K

    更新日期:1995-05-01 00:00:00

  • Infrared video imaging of subsurface vessels: a feasibility study for the endoscopic management of gastrointestinal bleeding.

    abstract::The feasibility of infrared video imaging of subsurface vessels in the stomach was investigated both experimentally and in more detail using computer simulations of light propagation. Infrared video imaging was first attempted in several experimental situations. Images of a human arm illuminated with infrared light (w...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(95)70341-1

    authors: Gostout CJ,Jacques SL

    更新日期:1995-03-01 00:00:00

  • Endoscopic myotomy in the treatment of achalasia.

    abstract::Seventeen patients with achalasia were treated by endoscopic myotomy limited to the esophageal rosette and avoiding the distal antireflux zone. Clinical, radiological, endoscopic, and manometric follow-up revealed improvement comparable to that seen in patients after successful surgical myotomy or pneumatic dilation. ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(80)73249-2

    authors: Ortega JA,Madureri V,Perez L

    更新日期:1980-02-01 00:00:00

  • Prospective comparison of contact with noncontact Nd:Yag laser therapy for palliation of esophageal carcinoma.

    abstract::Twenty patients with dysphagia due to inoperable esophageal cancer were randomized to receive either contact or noncontact endoscopic laser treatment. Treatment groups were similar with respect to age, dysphagia score, and tumor dimensions. The median number of initial treatment sessions was two in both groups, and th...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(89)72842-x

    authors: Radford CM,Ahlquist DA,Gostout CJ,Viggiano TR,Balm RK,Zinsmeister AR

    更新日期:1989-09-01 00:00:00

  • The role of oral simethicone on the adenoma detection rate and other quality indicators of screening colonoscopy: a randomized, controlled, observer-blinded clinical trial.

    abstract:BACKGROUND AND AIMS:Combining simethicone (SIM) with a colon preparation agent has been shown to improve mucosal visibility during screening colonoscopy, but its effect on the adenoma detection rate (ADR) remains unclear. SIM is commonly used through the endoscope to eliminate bubbles during endoscopy. However, this pr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2019.03.018

    authors: Moraveji S,Casner N,Bashashati M,Garcia C,Dwivedi A,Zuckerman MJ,Carrion A,Ladd AM

    更新日期:2019-07-01 00:00:00

  • Patient acceptance of the optical diagnosis and misdiagnosis of diminutive colorectal polyps.

    abstract:BACKGROUND AND AIMS:Optical diagnosis allows for real-time endoscopic assessment of colorectal polyp histology and consists of the resect and discard and diagnose and leave paradigms. This survey assessed patient acceptance of optical diagnosis and their responses to a hypothetical doomsday scenario. METHODS:We conduc...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2016.11.031

    authors: Sakata S,Lee AHS,Kheir AO,Tutticci NJ,Naidu S,Stevenson ARL,Hewett DG

    更新日期:2017-08-01 00:00:00

  • Impact of inpatient status and gender on small-bowel capsule endoscopy findings.

    abstract:BACKGROUND:Video capsule endoscopy (VCE) is most commonly performed in the outpatient setting to evaluate obscure GI bleeding. OBJECTIVE:To determine the impact of gender and inpatient status on VCE findings. DESIGN:Retrospective study. SETTING:Two tertiary medical centers and a VA medical center. PATIENTS:A total ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.07.019

    authors: Robinson CA,Jackson C,Condon D,Gerson LB

    更新日期:2011-11-01 00:00:00

  • Quality assessment for systematic reviews and meta-analyses of cohort studies.

    abstract:BACKGROUND AND AIMS:There is a growing need for valid, efficient, and easy scoring scales to rate the quality of cohort studies. We aimed to develop and validate a quality assessment score to be used for cohort studies. METHODS:We followed a rigorous process to establish content, face, and construct validity. Most que...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.10.007

    authors: Qumseya BJ

    更新日期:2021-02-01 00:00:00

  • Comparison of quality of life and worry of cancer recurrence between endoscopic and surgical treatment for early gastric cancer.

    abstract:BACKGROUND:The quality of life (QOL) of patients who survive early gastric cancer (EGC) is an area of increasing interest. OBJECTIVE:To compare the QOL and degree of worry of cancer recurrence in EGC patients who underwent endoscopic submucosal dissection (ESD) or surgery. DESIGN:Cross-sectional study. SETTINGS:A te...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2015.01.019

    authors: Choi JH,Kim ES,Lee YJ,Cho KB,Park KS,Jang BK,Chung WJ,Hwang JS,Ryu SW

    更新日期:2015-08-01 00:00:00

  • Pancreatic tissue sampling guided by EUS, CT/US, and surgery: a comparison of sensitivity and specificity.

    abstract:BACKGROUND:Needle aspiration of the pancreas is performed to differentiate pancreatic malignancy, focal chronic pancreatitis, and metastasis to the pancreas. Biopsies may be directed by using EUS, CT, US, or surgery. This study retrospectively compared the accuracy of EUS-guided, CT/US-guided, and surgical tissue sampl...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(02)70181-8

    authors: Mallery JS,Centeno BA,Hahn PF,Chang Y,Warshaw AL,Brugge WR

    更新日期:2002-08-01 00:00:00

  • Endoscopic retrograde cholangiography in the diagnosis of biliary malformations in infants.

    abstract::The differentiation of infantile biliary malformations from primary parenchymal diseases is difficult. The recent development of a pediatric side-viewing endoscope (PJF Endoscope; Olympus Corporation of America) provided an opportunity to investigate the usefulness of endoscopic retrograde cholangiography (ERC) for pr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(88)71432-7

    authors: Heyman MB,Shapiro HA,Thaler MM

    更新日期:1988-11-01 00:00:00

  • Diagnostic yield and safety of jumbo biopsy forceps in patients with subepithelial lesions of the upper and lower GI tract.

    abstract:BACKGROUND:EUS-FNA often fails to make a definitive diagnosis in the evaluation of subepithelial lesions. The addition of jumbo biopsy forceps has the potential to improve diagnostic yield, but published series are limited. OBJECTIVE:To assess the likelihood of definitive diagnosis for subepithelial lesions by using j...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2012.01.032

    authors: Buscaglia JM,Nagula S,Jayaraman V,Robbins DH,Vadada D,Gross SA,DiMaio CJ,Pais S,Patel K,Sejpal DV,Kim MK

    更新日期:2012-06-01 00:00:00

  • Incidence and risk factors for postoperative common bile duct stones in patients undergoing endoscopic extraction and subsequent cholecystectomy.

    abstract:BACKGROUND AND AIMS:In patients who undergo cholecystectomy after endoscopic common bile duct (CBD) stone extraction, CBD stones found postoperatively could be problematic. This study aimed to investigate the incidence and risk factors of postoperative CBD stones after cholecystectomy. METHODS:A total of 278 patients ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2020.06.060

    authors: Choe JW,Kim SY,Lee DW,Hyun JJ,Ahn KR,Yoon I,Jung SW,Jung YK,Koo JS,Yim HJ,Lee SW

    更新日期:2020-06-26 00:00:00

  • Management of code status in the periendoscopic period: a national survey of current practices and beliefs of U.S. gastroenterologists.

    abstract:BACKGROUND AND AIMS:This study aims to assess current practices and perspectives of gastroenterologists on approaches to code status before inpatient endoscopy. METHODS:Self-reported data were obtained through a voluntary, anonymous survey of gastroenterologists and gastroenterology trainees in the United States (U.S....

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2021.01.005

    authors: Feld LD,Mergener K,Rubin DT,Rao VL

    更新日期:2021-01-18 00:00:00

  • Differential diagnosis of pancreatic cancer and focal pancreatitis by using EUS-guided FNA.

    abstract:BACKGROUND:Despite advances in diagnostic imaging techniques, the differentiation between pancreatic cancer and focal pancreatitis remains difficult. This study evaluated the effectiveness of EUS-guided FNA in the differential diagnosis between pancreatic cancer and focal pancreatitis, with particular reference to dete...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)02224-2

    authors: Takahashi K,Yamao K,Okubo K,Sawaki A,Mizuno N,Ashida R,Koshikawa T,Ueyama Y,Kasugai K,Hase S,Kakumu S

    更新日期:2005-01-01 00:00:00