Mallory-Weiss Syndrome
Journal Title: Medycyna Ogólna i Nauki o Zdrowiu - Year 2013, Vol 19, Issue 3
Abstract
Introduction and purpose: This study presents the most important information relating to the clinical aspect of the incidence frequency, clinical symptoms, complications, diagnosis and effectiveness of treatment in the Mallory-Weiss syndrome, based on a review of the latest literature.. The aim of this study is to present the main information concerning the diagnostic-therapeutic procedures in Mallory-Weiss syndrome. Summary of the state of knowledge: Mallory-Weiss syndrome is characterized in the gastroscopy image by elongated yank injuries of the mucous membrane which is located in the distal oesophagus and / or the proximal part of the stomach. Elongated cracks (bursts) of the oesophagus mucous membrane, usually caused by vomiting. The most common reasons for vomiting are, among others: gastrointestinal infections, gallstones, cholecystitis, uraemic syndrome, obstruction of the gastrointestinal tract, bulimia. Abdominal pain is the main symptom of the Mallory-Weiss syndrome, which can be accompanied with bloody vomiting and pain in the chest. Mallory-Weiss syndrome makes up 15% of cases of bleeding from the upper gastrointestinal tract, which can cause severe bleeding with the need for urgent medical interventions. Summary: Although bleeding retreats spontaneously in most of cases, thus the appropriate dealing with patients results in a shorter time of hospitalization, more favourable progosis, and significant reduction of treatment costs. In the therapeutic treatment, one should take into consideration adding treatment of the causes of vomiting, apply antiemetics, proton pump inhibitors, and perform endoscopy using one of the available methods of endoscope inhibition of bleeding in the upper gastrointestinal tract.Key words: Mallory-Weiss syndrome, gastrointestinal haemorrhage, vomiting
Authors and Affiliations
Maria Kondrat-Wróbel, Andrzej Miturski, Andrzej Prystupa
Keywords
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