The esophagus as a working channel: successful closure of a large Mallory–Weiss tear with clips and an endoloop

Abstract

A 56-year-old man with alcoholic liver disease presented to our unit with a 1-day history of hematemesis. On admission, his blood pressure was 100/60 mmHg and pulse rate 102 beats/minute. The initial hematocrit was 29 %. Urgent esophagogastroduodenoscopy (EGD) revealed a large esophageal tear at the cardia, measuring 15 × 10 mm ([Fig. 1]). A diagnosis of Mallory–Weiss tear was made.