Mallory-Weiss Syndrome
| Classification according to ICD-10 | |
|---|---|
| K22.6 | Mallory-Weiss Syndrome |
| ICD-10 online (WHO version 2019) | |
As Mallory-Weiss syndrome are most often occurring after severe vomiting, longitudinal tears of the mucosa and submucosa of the esophagus referred to as a complication with potentially life-threatening bleeding the outer esophagus and / or cardia ( gastrointestinal bleeding ) may be associated. The pain is localized above the navel. The disease is named after the Hungarian-American doctor S. Weiss (1898–1942) and the American pathologist GK Mallory (1900–1986), who described the disease in 1929 and 1932.
causes
The causes are a positive alcohol history or excessive alcohol as well as gastrointestinal reflux of relevance . The massive increase in pressure, usually triggered by vomiting, plays an important role in the pathogenesis . Bulimia , seizures, and coughs can be triggers.
Differential diagnoses
Esophageal varices, gastric ulcer, gastritis, reflux disease. In contrast to Boerhaave's syndrome , only the mucosa and submucosa are affected.
therapy
The diagnosis is confirmed by means of esophagogastroscopy and, at the same time, the tears in the esophagus are treated surgically with endoscopic hemostasis. In rare cases, a resection of parts of the stomach is necessary.
Individual evidence
- ^ S. Weiss, GK Mallory: Lesions of the cardiac orifice of the stomach produced by vomiting. In: Journal of the American Medical Association . 1932; 98, pp. 1353-1355.
- ↑ C. Pohl, K. Thon, W. Dietz, H. Stöltzing: Endoscopic or surgical therapy for bleeding Mallory-Weiss syndrome? In: Langenbeck's archive for surgery . 1985, Volume 366, No. 1, p. 667.
literature
- Vomit. In: Gerd Herold: Internal Medicine. Self-published, Cologne 2005.
Web links
- G. Drese: The lesions of the cardia (Mallory-Weiss syndrome). In: German journal for all forensic medicine. 1965, Vol. 56, No. 1, pp. 32-38.
