Abstract |
The experience of a major general hospital, over the last two decades, with the management of 50 patients presenting post- emetic lesions of the gastroesophageal junction is reviewed. The results of this study clarify the persistent confusion between the Mallory-Weiss syndrome and the Boerhaave's syndrome. The high incidences of upper gastro-intestinal mucosal lesions and hiatal hernia associated with the Mallory-Weiss syndrome, ignored in many previous studies, are emphasized in this report. Widespread utilization of fiberoptic endoscopy during the last 10 years has resulted in more accurate diagnosis of Mallory-Weiss lacerations, with more selective indications for surgical management of these cases of upper gastrointestinal bleeding. On the other hand, in the light of the results of this study, a strong plea is made in favor of early, aggressive surgical treatment for Boerhaave's syndrome. This entity remains one of the challenges of thoracic and abdominal surgery.
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Authors | L Michel |
Journal | Acta chirurgica Belgica
(Acta Chir Belg)
1982 Jan-Feb
Vol. 82
Issue 1
Pg. 13-24
ISSN: 0001-5458 [Print] England |
PMID | 7064626
(Publication Type: Journal Article)
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Topics |
- Aged
- Diagnosis, Differential
- Esophageal Diseases
(diagnosis, etiology, surgery)
- Esophagogastric Junction
- Esophagoscopy
- Female
- Humans
- Male
- Mallory-Weiss Syndrome
(diagnosis, surgery)
- Middle Aged
- Rupture, Spontaneous
- Vomiting
(complications)
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