Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection

There are no previous reports of Mallory-Weiss tears occurring as complications during esophageal endoscopic submucosal dissection (ESD). We present 3 cases of Mallory-Weiss tears occurring during treatment of superficial squamous cell neoplasms through ESD. Carbon dioxide was used for air insufflat...

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Main Authors: Jing Wen, Jing Yang, Zhongsheng Lu, Xuqiang Bian, Jin Huang
Format: Article
Language:English
Published: Medycyna Praktyczna 2018-05-01
Series:Videosurgery and Other Miniinvasive Techniques
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Online Access:https://www.termedia.pl/Mallory-Weiss-tear-as-a-rare-complication-during-esophageal-endoscopic-submucosal-dissection,42,32906,1,1.html
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author Jing Wen
Jing Yang
Zhongsheng Lu
Xuqiang Bian
Jin Huang
author_facet Jing Wen
Jing Yang
Zhongsheng Lu
Xuqiang Bian
Jin Huang
author_sort Jing Wen
collection DOAJ
description There are no previous reports of Mallory-Weiss tears occurring as complications during esophageal endoscopic submucosal dissection (ESD). We present 3 cases of Mallory-Weiss tears occurring during treatment of superficial squamous cell neoplasms through ESD. Carbon dioxide was used for air insufflation, and the patient was adequately sedated without retching or struggling during the operation. No significant bleeding from the lesion was observed during ESD; however, active bleeding caused by the Mallory-Weiss tear was identified endoscopically. Bleeding was controlled by closure of the tear with metal clips or repeated flushing with adrenaline saline. Hemorrhage did not recur until completion of the operation. Therefore, during the operation, it is necessary to maintain adequate depth of anesthesia and reduce the operation time, and also reduce air and water injections, to avoid occurrence of such complications.
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institution Kabale University
issn 1895-4588
2299-0054
language English
publishDate 2018-05-01
publisher Medycyna Praktyczna
record_format Article
series Videosurgery and Other Miniinvasive Techniques
spelling doaj-art-b4e3c6ce2e234d51ba9d4a322d3c50062025-08-20T03:39:22ZengMedycyna PraktycznaVideosurgery and Other Miniinvasive Techniques1895-45882299-00542018-05-0114113313610.5114/wiitm.2018.7608832906Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissectionJing WenJing YangZhongsheng LuXuqiang BianJin HuangThere are no previous reports of Mallory-Weiss tears occurring as complications during esophageal endoscopic submucosal dissection (ESD). We present 3 cases of Mallory-Weiss tears occurring during treatment of superficial squamous cell neoplasms through ESD. Carbon dioxide was used for air insufflation, and the patient was adequately sedated without retching or struggling during the operation. No significant bleeding from the lesion was observed during ESD; however, active bleeding caused by the Mallory-Weiss tear was identified endoscopically. Bleeding was controlled by closure of the tear with metal clips or repeated flushing with adrenaline saline. Hemorrhage did not recur until completion of the operation. Therefore, during the operation, it is necessary to maintain adequate depth of anesthesia and reduce the operation time, and also reduce air and water injections, to avoid occurrence of such complications.https://www.termedia.pl/Mallory-Weiss-tear-as-a-rare-complication-during-esophageal-endoscopic-submucosal-dissection,42,32906,1,1.htmlmallory-weiss tear complication endoscopic submucosal dissection
spellingShingle Jing Wen
Jing Yang
Zhongsheng Lu
Xuqiang Bian
Jin Huang
Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection
Videosurgery and Other Miniinvasive Techniques
mallory-weiss tear
complication
endoscopic submucosal dissection
title Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection
title_full Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection
title_fullStr Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection
title_full_unstemmed Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection
title_short Mallory-Weiss tear as a rare complication during esophageal endoscopic submucosal dissection
title_sort mallory weiss tear as a rare complication during esophageal endoscopic submucosal dissection
topic mallory-weiss tear
complication
endoscopic submucosal dissection
url https://www.termedia.pl/Mallory-Weiss-tear-as-a-rare-complication-during-esophageal-endoscopic-submucosal-dissection,42,32906,1,1.html
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AT jingyang malloryweisstearasararecomplicationduringesophagealendoscopicsubmucosaldissection
AT zhongshenglu malloryweisstearasararecomplicationduringesophagealendoscopicsubmucosaldissection
AT xuqiangbian malloryweisstearasararecomplicationduringesophagealendoscopicsubmucosaldissection
AT jinhuang malloryweisstearasararecomplicationduringesophagealendoscopicsubmucosaldissection