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The Mallory-Weiss syndrome.

J Pagel, S Lindkear-Jensen, O V Nielsen

    Acta Chirurgica Scandinavica
    |January 1, 1975
    PubMed
    Summary
    This summary is machine-generated.

    Mallory-Weiss syndrome, a cause of upper gastrointestinal bleeding, is best diagnosed with emergency gastroscopy. Conservative treatment with blood replacement is effective for most patients, with surgery reserved for uncontrollable bleeding cases.

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    Area of Science:

    • Gastroenterology
    • Surgical Gastroenterology

    Background:

    • Upper gastrointestinal bleeding is a common clinical problem.
    • Mallory-Weiss syndrome is a recognized cause of such bleeding, often associated with forceful vomiting.

    Purpose of the Study:

    • To evaluate diagnostic methods and treatment outcomes for Mallory-Weiss syndrome.
    • To determine the most effective approach for managing this condition.

    Main Methods:

    • Retrospective analysis of 11 patients diagnosed with Mallory-Weiss syndrome between 1970-1974.
    • Diagnosis confirmed via gastroscopy or during surgery; X-ray was found ineffective.
    • Etiological factors including alcohol abuse, migraine, and trauma were noted.

    Main Results:

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  • Gastroscopy was the most reliable diagnostic tool, surpassing X-ray examinations.
  • Conservative management, primarily blood replacement, successfully treated 10 out of 11 patients.
  • One patient required emergency surgery for persistent bleeding, with mucosal tears sutured.

    • Conclusions:

    • Emergency gastroscopy is the gold standard for diagnosing Mallory-Weiss syndrome.
    • Conservative treatment is highly effective and should be the primary approach.
    • Surgical intervention is indicated only for rare cases of uncontrollable hemorrhage.