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Mallory Weiss Syndrome: A study of 63 cases Y. Okuyama 1 , H. Shimazu 2 , Y. Itai 3 , T. Kogure 3 1Department of Geriatrics, University of Tokyo 2First Department of Surgery, University of Tokyo 3Department of Radiology, University of Tokyo pp.715-720
Published Date 1976/6/25
DOI https://doi.org/10.11477/mf.1403107287
  • Abstract
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 Investigation of reported cases for Mallory-Weiss syndrome has led us to define it as “gross hemorrhage originating from lacerations near the cardia due to sudden rise in intraabdominal pressure brought about by vomiting, etc.”

 Sixty three cases of Mallory-Weiss syndrome, based on this definition, were encountered over the past 4 years. Most of them were easy to control and there was not a single case of mortality. X-ray diagnosis is often difficult. Pertinent history taking is more rewarding, and the easiest and most accurate way to the diagnosis is endoscopy at the earliest opportunity. Most of lacerations were seen in the gastric mucosa in the grooves between the mucosal folds. There were two kinds of lacerations : lacerations linear from the outset and spindle-shaped lacerations showing gaping wounds. In the former the lamina muscularis mucosae is mostly free from laceration. We have classified these mucosal tears into 4 stages : bleeding, open, linear and scarring stage. Clinically laceration can be considered healed when it has reached the linear stage. The majority of our experienced cases showed the linear stage within 2 or 3 weeks. As a whole this disease entity heals within a short time. The most important factor affecting the prognosis is the amount of hemorrhage. When bleeding is stilled one way or another, there is no indication for surgical exploration.

 It is not uncommon to come across lacerations in the remnant stomach. They occur most often on the anterior and posterior walls near the sunk-sutured anastomotic stoma.

 Most cases of Mallory-Weiss syndrome took place through esophageal hiatus hernia due to sudden rise in intraabdominal pressure, but there were some probably caused by a transient condition such as prolapse of the gastric mucosa into the esophageal lumen.


Copyright © 1976, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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