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Post-emetic laceration and rupture of the gastroesophageal junction.

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.
AuthorsL Michel
JournalActa chirurgica Belgica (Acta Chir Belg) 1982 Jan-Feb Vol. 82 Issue 1 Pg. 13-24 ISSN: 0001-5458 [Print] England
PMID7064626 (Publication Type: Journal Article)
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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