Treatment of Mallory-Weiss Syndrome When Endoscopy Is Unavailable or Unsuccessful
Clinical Scenario
Mallory-Weiss syndrome involves bleeding that requires active haemostatic intervention. When endoscopic management is unavailable or has not achieved bleeding control, an interventional alternative must be considered to achieve haemostasis.
Treatment Approach
Management involves an angiographic intervention targeting the arterial supply responsible for the bleed.
The full structured protocol — including the specific agents, techniques, and target vessels — is available via the link below.
References
DOI: 10.30574/gscarr.2025.23.3.0177
- Angiographic interventions, such as injection of vasoconstrictor agents (e.g., vasopressin) or transcatheter embolization using gel foam, may be considered when endoscopy is unavailable or unsuccessful.
- These approaches aim to obliterate the left gastric artery or superior mesenteric artery to control bleeding.
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