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A Follow-up Case of Mallory-Weiss Syndrome by Endoscopy Y. Kohli 1 , S. Fujimoto 1 , S. Toriie 1 , H. Niki 1 , K. Kawai 2 1Department of Internal Medicine, Kyoto Prefectural University of Medicine 2School of Preventive Medicine, Kyoto Prefectural University of Medicine pp.963-968
Published Date 1975/7/25
DOI https://doi.org/10.11477/mf.1403112429
  • Abstract
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 Since in 1929 Mallory & Weiss described 15 patients in whom massive upper gastrointestinal bleeding developed after an alcoholic debauch associated with nausea and vomiting, an increasing number of Mallory-Weiss syndrome has been reported with recent remarkable advances of endoscopic examination. Up to date 229 cases of this syndrome in English World, and 59 cases in Japan have been already reported.

 In this paper is reported a follow-up case of Mallory-Weiss syndrome by endoscopy, and we have also collected the literature hitherto published in Japan and English World, with some comments on its etiology, incidence, site of organ, pertinent diagnosis and therapy.

 Case: a 47-year-old man.

 He was healthy by nature, but he was a heavy drinker. The midnight before the admission he drank two bottles of Japanese wine amounting to about 1,000 ml. At 2:00 a.m. he awoke with sudden nausea, retching and vomiting colorless liquid. He continuously retched until the next morning. At 8:00 a.m. he vomited four times dark and bright red blood.

 At 1:00 p.m. he was admitted to our University hospital where he vomited 600 ml of dark red blood after the admission. Immediately an endoscopic examination was performed, and a long linear laceration from the lower part of the esophagus to the cardia, a round ulceration at the esophagogastric junction and multiple hemorrhagic gastroduodenal erosions were found. But the patient remained in good condition, and no transfusion was given. By the internal treatment under the control of endoscopy, which was performed seven times during the healing process, the laceration and other ulcerative lesions were seen to heal rapidly. Fourty-four days after the gastrointestinal bleeding, the laceration healed up and only a reddish linear sulcus remained on its surface.


Copyright © 1975, 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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