DOI QR코드

DOI QR Code

Huge gastric mucosal laceration during endoscopy in a patient with hiatal hernia

  • Inmo Kang (Division of Gastroenterology, Department of Internal Medicine, Keimyung University Dongsan Medical Center, Keimyung University School of Medicine)
  • Received : 2023.11.17
  • Accepted : 2024.01.25
  • Published : 2024.05.31

Abstract

Massive gastric mucosal ruptures during upper gastrointestinal endoscopy in patients with esophageal hiatal hernias are rare. However, tearing of the gastric mucosa alone, without tearing of the gastroesophageal junction, is even rarer. This study reports a case of a large mucosal rupture that occurred on the posterior wall of the upper body of the stomach during upper gastrointestinal endoscopy in an 83-year-old woman with an esophageal hiatal hernia while sedated. The patient was treated with endoclips for the rupture.

Keywords

References

  1. Shimoda R, Iwakiri R, Sakata H, Ogata S, Ootani H, Sakata Y, et al. Endoscopic hemostasis with metallic hemoclips for iatrogenic Mallory-Weiss tear caused by endoscopic examination. Dig Endosc 2009;21:20-3. https://doi.org/10.1111/j.1443-1661.2008.00825.x
  2. Okada M, Ishimura N, Shimura S, Mikami H, Okimoto E, Aimi M, et al. Circumferential distribution and location of Mallory-Weiss tears: recent trends. Endosc Int Open 2015;3:E418-24. https://doi.org/10.1055/s-0034-1392367
  3. Na S, Ahn JY, Jung KW, Lee JH, Kim DH, Choi KD, et al. Risk factors for an iatrogenic Mallory-Weiss tear requiring bleeding control during a screening upper endoscopy. Gastroenterol Res Pract 2017;2017:5454791.
  4. Montalvo RD, Lee M. Retrospective analysis of iatrogenic Mallory-Weiss tears occurring during upper gastrointestinal endoscopy. Hepatogastroenterology 1996;43:174-7.
  5. Penston JG, Boyd EJ, Wormsley KG. Mallory-Weiss tears occurring during endoscopy: a report of seven cases. Endoscopy 1992;24:262-5. https://doi.org/10.1055/s-2007-1009122
  6. Santoro MJ, Chen YK, Collen MJ. Polyethylene glycol electrolyte lavage solution-induced Mallory-Weiss tears. Am J Gastroenterol 1993;88:1292-3.
  7. Sugawa C, Benishek D, Walt AJ. Mallory-Weiss syndrome. A study of 224 patients. Am J Surg 1983;145:30-3. https://doi.org/10.1016/0002-9610(83)90162-9