Research Article

Risk Factors for an Iatrogenic Mallory-Weiss Tear Requiring Bleeding Control during a Screening Upper Endoscopy

Table 1

Baseline characteristics and endoscopic findings of patients with iatrogenic Mallory-Weiss tears.

Total ()MWTs with bleeding control ()MWTs without bleeding control () value

Median age, years (IQR, years)53 (43–64)63 (53–71)51 (42–62)<0.001
Sex (M/F)330/21649/22281/1940.120
Diabetes mellitus43 (7.9)6 (8.5)37 (7.8)0.814
Hypertension130 (23.8)22 (30.9)108 (22.7)0.136
Liver disease38 (6.9)4 (5.6)34 (47.9)0.805
Medication
 Antiplatelet35 (6.4)5 (7.0)30 (6.3)0.795
 Anticoagulant6 (1.1)2 (2.8)4 (0.8)0.177
History of distal gastrectomy19 (3.5)8 (11.3)11 (2.3)0.001
Reflux esophagitis0.991
 None/minimal397 (72.7)50 (70.4)347 (73.1)
 LA-A109 (19.9)15 (21.1)94 (19.8)
 LA-B33 (6.0)5 (7.1)28 (5.9)
 LA-C7 (1.3)1 (1.4)6 (1.2)
Sedation (yes/no)335/21132/39303/1720.004
Median endoscopic procedures performed at the time of the MWT (IQR)2,596 (778.5–8,742)1,622 (699–4,823)3,037 (820–9,435)0.015

n: number; MWT: Mallory-Weiss tear; IQR: interquartile range; M: male; F: female; LA: Los Angeles classification. Data represent the numbers of patients (%).