Yuan EY, Zhang J, Lv ZS. Mallory-Weiss syndrome: a clinical analysis of 78 cases.
Shijie Huaren Xiaohua Zazhi 2008;
16:3796-3800. [DOI:
10.11569/wcjd.v16.i33.3796]
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Abstract
AIM: To investigate the clinical characteristic, gastroscopic manifestation and treatment of Mallory-Weiss syndrome (MWS).
METHODS: We retrospectively analyzed the clinical data of 78 MWS patients admitted to hospital from March 2003 to April 2008.
RESULTS: MWS was estimated to account for 6.13% of patients with upper gastrointestinal bleeding. Vomiting after alcohol drinking was the main etiology. Under gastroscope, all tears were longitudinal and common in cardia. The manifestation was correlated with the intervals from pathogenesis to gastroscopic examination (P < 0.05), but not associated with H pylori infection and patients' age. Eight of 78 cases were treated with endoscopic hemostasis and hemorrhage did not relapse; among the 70 cases with medical treatment, only 1 case was found with recurrence of bleeding, but after treatment with endoscopic hemostasis, the bleeding was stopped.
CONCLUSION: Both conservative and endoscopic treatment have favorable efficacy in stopping the bleeding of MWS, and the latter can be performed when the former was of no effect.
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