The Mallory-Weiss-syndrome: a clinical study of 20 cases.
This is an account of 20 cases of MWS, representing 8% of a series of 247 consecutive upper GI-bleedings. Men above 40 years and persons with severe concomitant disease are specially at risk. The prognosis is rather good, mortality from bleeding being 10%. Surgery should not be undertaken unless all conservative measures, including vasopressin infusion and even Sengstaken-Blakemore tube have been applied. The typical history, a hiatal hernia and alcohol intake are frequently missing. Neither studies of gastric acid secretion nor esophageal manometry disclosed new pathogenic aspects.
D000328:Adult; D000368:Aged; D004947:Esophagus / Q000503:physiopathology; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis; D005773:Gastroscopy / Q000379:methods; D006801:Humans; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology; D008365:Manometry; D008875:Middle Aged; D013270:Stomach / Q000473:pathology