Korean J Gastrointest Endosc.  1997 Jun;17(3):329-334.

Observation of 35 Cases of Mallory: Weiss Syndrome Diagnosed by Endoscopy

• Ahn KS
• Kim YY
• Lee JW
• Yoon TY
• Kim KJ
• Jeong JS
• Min KH
• Park CW
• Kim JW

Abstract

35 cases of Mallory-Weiss syndrome among 277 cases of upper gastrointestinal bleeding were ascertained by endoscopy at department of internal medicine St. Columban's hospital. The mean age was 41.6 years. All of 35 cases were found in male. Combined disease were gastritis(15 cases), peptic ulcer(7 cases) and esophageal varix(3 cases). The most common precipitating factor was vomiting, 22 cases among the 28 cases of vomiting(80%) developed after drinking. Endoscopic finding revealed active bleeding in 5 cases, blood clot without active bleeding in 22 cases, and scar change without bleeding evidence in 8 cases. Most cases had had hematemesis after active bleeding but 5 cases had had only melena without hematemesis. The Mallory-Weiss lacerations were located at stomach in 16 cases(46%), at esophagogastric junction in 11 cases(31%) and at esophagus in 8 cases. On the view of gastric direction, 14 cases were on anterior wall side, 9 cases were on posterior wall side, 11 cases were on lesser curvature side and one case was on great curvature side. Single lacerations were more common than multiple lacerations.

Keyword

Mallory-Weiss syndrome; UGI bleeding; Endoscopic diagnosis

MeSH Terms

Cicatrix
Drinking
Endoscopy*
Esophagogastric Junction
Esophagus
Hematemesis
Hemorrhage
Humans
Internal Medicine
Lacerations
Male
Mallory-Weiss Syndrome
Melena
Precipitating Factors
Stomach
Vomiting