Document Detail


Mucosal tears at the oesophagogastric junction (the Mallory-Weiss syndrome).
MedLine Citation:
PMID:  13684977     Owner:  NLM     Status:  OLDMEDLINE    
Abstract/OtherAbstract:
This is a re-appraisal of the supposedly rare Mallory-Weiss syndrome in which 11 patients with mucosal tears at the oesophagogastric junction are described. The fact that these cases were collected from general hospitals within a short period suggests that the condition is more common than supposed and may account for a considerable proportion of the 20 to 25% of patients with upper gastrointestinal bleeding in whom no radiological abnormality can subsequently be found. Of the 11 patients, eight presented with gastrointestinal bleeding, two with mediastinitis, and one without relevant symptoms. The classical history of antecedent vomiting before the bleeding was obtained in only four patients, its absence not excluding the diagnosis. The presence of a small hiatal hernia in four patients appeared to predispose to mucosal tears as did mucosal atrophy occurring with advancing age. Some experimental findings pertaining to the mechanism of the tears are presented.
Authors:
M ATKINSON; M B BOTTRILL; A T EDWARDS; W M MITCHELL; B G PEET; R E WILLIAMS
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Gut     Volume:  2     ISSN:  0017-5749     ISO Abbreviation:  Gut     Publication Date:  1961 Mar 
Date Detail:
Created Date:  1961-12-01     Completed Date:  1998-11-01     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  2985108R     Medline TA:  Gut     Country:  Not Available    
Other Details:
Languages:  eng     Pagination:  1-11     Citation Subset:  OM    
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MeSH Terms
Descriptor/Qualifier:
Gastrointestinal Hemorrhage / etiology*
Mediastinitis / etiology*
Vomiting / complications*
Comments/Corrections

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