Mehmet BEKTAŞ, Esin KORKUT, Ramazan İDİLMAN, Onur KESKİN, Yusuf ÜSTÜN, Vikas GUPTA, Kadir BAHAR

Mallory-Weiss sendromunun argon plazma koagülasyonu ile tedavisi

Endoskopik hemostaz metotları Mallory-Weiss Sendromuna ba¤lı üst gastrointestinal kanamalarda güvenli ve etkin bir yaklaşım olarak kabul edilmektedir. Kronik öksürü¤ü olan 62 yaşındaki bir erkek hasta ve 27 yaşında 10 haftalık gebe hasta klini¤imize ciddi hematemez bulgularıyla başvurdu. Bu hastalara üst gastrointestinal endoskopi uygulandı ve Mallory Weiss sendromu tanısı kondu. İşlem sırasında koagülum ve visible vessel görüldü ve bu lezyonlara argon plazma koagülasyonu uygulandı. Argon plazma koagülasyonu sonrasında tam bir kanama kontrolü sa¤landı ve takipte kanama tekrarlamadı. Sonuç olarak argon plazma koagülasyonu aktif kanayan non fibrotik Mallory-Weis sendromu olan hastalarda gecikmiş hemoraji ve perforasyon gibi minimal komplikasyon riskiyle kolaylıkla uygulanabilir.

Anahtar Kelimeler:

Argon plazma koagülasyon, Mallory-Weiss sendromu

Treatment of Mallory-Weiss syndrome using argon plasma coagulation

The endoscopic hemostatic method has been introduced as a safe and effective mechanical approach to hemostasis for upper gastrointestinal bleeding related to Mallory-Weiss syndrome. A 62-year-old male patient with chronic cough and a 27-year-old 10-week pregnant female were admitted to our clinic with gross hematemesis. Upper gastrointestinal endoscopy was performed and Mallory-Weiss syndrome was diagnosed. Coagulum and visible vessels were observed during the procedure. Argon plasma coagulation was applied. After argon plasma coagulation, complete hemostasis was achieved and rebleeding did not occur. In conclusion, argon plasma coagulation can be performed easily and with minimum risk of complications such as perforation or delayed hemorrhage in patients with actively bleeding non-fibrotic Mallory-Weiss syndrome.

Keywords:

Argon plasma coagulation, Mallory-Weiss syndrome,

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