RESUMO
Five patients with Mallory-Weiss tears of the esophagus and massive uncontrolled upper gastrointestinal bleeding were treated by Gelfoam embolization of the left gastric artery. Four of the five required no further therapy. In one case permanent hemostasis was not achieved due to extension of the tear to branches of the inferior phrenic artery. Since Mallory-Weiss tears are usually self-healing, embolization is potentially the primary treatment modality. Surgery can be reserved for treatment of transmural perforation or recurrent bleeding.
Assuntos
Cateterismo , Embolização Terapêutica/métodos , Junção Esofagogástrica/irrigação sanguínea , Hemorragia Gastrointestinal/terapia , Síndrome de Mallory-Weiss/terapia , Adulto , Angiografia , Artérias , Feminino , Humanos , Masculino , Síndrome de Mallory-Weiss/diagnóstico por imagem , Pessoa de Meia-IdadeRESUMO
This clinical double-blind study shows that glucagon (2 mg) is a valuable agent for hypotonic duodenography. Pro-Banthine (45 mg) is slightly more effective as a hypotonic agent, but there is no doubt that its use is associated with more side effects and subsequent patient discomfort; contraindications to its use are more commonly encountered in a general hospital population.
