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Related Experiment Videos

The Mallory-Weiss syndrome.

D J St John, J P Masterton, N D Yeomans

    British Medical Journal
    |January 26, 1974
    PubMed
    Summary
    This summary is machine-generated.

    Immediate investigation of upper gastrointestinal bleeding diagnosed Mallory-Weiss syndrome in 13.2% of patients. Early diagnosis via oesophagogastroscopy aided management and confirmed its common role in bleeding.

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    Area of Science:

    • Gastroenterology
    • Internal Medicine

    Background:

    • Mallory-Weiss syndrome is a significant cause of upper gastrointestinal bleeding.
    • Prompt diagnosis and management are crucial for patient outcomes.

    Purpose of the Study:

    • To determine the incidence of Mallory-Weiss syndrome in patients presenting with upper gastrointestinal bleeding.
    • To evaluate the diagnostic utility of oesophagogastroscopy in managing this condition.

    Main Methods:

    • A retrospective analysis of 121 patients admitted with haematemesis or melaena.
    • Diagnosis was confirmed through oesophagogastroscopy.
    • Clinical history and alcohol intake were also assessed.

    Main Results:

    • Mallory-Weiss syndrome was diagnosed in 16 out of 121 patients (13.2% incidence).

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  • A typical history was only present in nine patients; four had recent alcohol intake.
  • All patients survived the bleeding episode.
  • Conclusions:

    • Mallory-Weiss syndrome is a relatively common cause of upper gastrointestinal bleeding.
    • Oesophagogastroscopy is beneficial for diagnosis, especially when surgery is required.
    • Diagnostic confirmation simplifies medical management for spontaneous bleeding cessation.