胃镜活检术后继发食管贲门黏膜撕裂综合征1例报道

Mallory-Weiss syndrome after endoscopic biopsy: one case report

食管贲门黏膜撕裂综合征(Mallory-Weiss syndrome,MWS)是上消化道出血原因之一,但继发于胃镜活检术后较为少见。本文报道1例老年男性,因胃镜活检术后呕血入院。入院后予补液、静脉使用质子泵抑制剂、止血等药物治疗后仍反复呕血及黑便,行床边急诊胃镜检查诊断为MWS并活动性出血,以钛夹封闭纵行裂口后,患者活动性出血停止。2个月后电话随访,患者无特殊不适。提示胃镜活检术后饮食不当可致出血,此类消化道出血也可诱发MWS并出血。

Mallory-Weiss syndrome （MWS） is one of the causes of upper gastrointestinal bleeding. However, MWS after endoscopic bi- opsy is apparently rare. An old male who vomited coffee-ground emesis after endoscopic biopsy was reported in this article. After rehydration and pharmacotherapy such as proton pump inhibitors and hemostatic agents, the patient still suffered from haematemesis and melena. Then, be underwenl an emergency endoscopy examination and was diagnosed with MWS. Finally, the bleeding tear was treated with hemoclips. Af- ter a 2-month fi^llowing up, no abnormal findings were observed. This case sbowed that inappropriate diet atier endoscopic biopsy may lead to gastrointestinal bleeding. And tben, the gastrointestinal bleeding may induce MWS accompanying with bleeding, whieh can make the situa- tion worse.