| 의인성 Mallory-Weiss 증후군의 임상적 특징 |
| 최인기ㆍ김선문ㆍ선제형ㆍ천상열ㆍ임대승ㆍ김용석ㆍ이태희ㆍ임의혁ㆍ허규찬ㆍ최용우ㆍ강영우 |
| 건양대학교 의과대학 내과학교실 |
| Clinical Features of Iatrogenic Mallory-Weiss Syndrome |
| In Key Choi, M.D., Sun Moon Kim, M.D., Jae Hyung Sun, M.D., Sang Yeol Cheon, M.D., Dae Seung Lim, M.D., Young Suk Kim, M.D., Tae Hee Lee, M.D., Euyi Hyeog Im, M.D., Kyu Chan Huh, M.D., Young Woo Choi, M.D. and Young Woo Kang, M.D. |
| Department of Internal Medicine, Konyang University College of Medicine, Daejeon, Korea |
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| Abstract |
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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. (Korean J Gastrointest Endosc 2009;39:72-77) |
| Key Words:
Iatrogenic, Mallory-Weiss syndrome, Clinical features |
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