[The surgical procedure in the Mallory-Weiss syndrome].
The authors dealt with treatment of 112 patients aged 27-70 years with the Mallory-Weiss syndrome. The diagnosis was confirmed by esophagogastroduodenoscopy. Diathermocoagulation was used in order to arrest bleeding. In profuse bleeding the margins of the mucosa fissures were first infiltrated with a solution of adrenaline. The Blakemore [correction of Bleikmorr] probe compression method was also used. Organ-saving operations were performed for continuing and recurrent bleedings. Two elderly patients with severe coexistent disease died. The authors consider that patients with the Mallory-Weiss syndrome must be treated by conservative methods. Operations for disruptions of the esophagus mucosa and acute blood loss will entail great risk.
Dudanov
I P
IP
Sharshavitskiĭ
G A
GA
Mezhenin
A M
AM
Chekulaeva
G P
GP
Libiiaĭnen
E M
EM
Andreev
Iu V
IuV
Bogdanets
A A
AA
Morozov
O D
OD
D000328:Adult; D000368:Aged; D003131:Combined Modality Therapy; D004564:Electrocoagulation / Q000379:methods; D016145:Endoscopy, Digestive System; D004837:Epinephrine / Q000008:administration & dosage; D005260:Female; D005336:Fiber Optic Technology; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006488:Hemostasis, Surgical / Q000379:methods; D006801:Humans; D008297:Male; D008309:Mallory-Weiss Syndrome / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008875:Middle Aged; D014662:Vasoconstrictor Agents / Q000008:administration & dosage
D014662:Vasoconstrictor Agents; D004837:Epinephrine