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[PMID]: 29332152
[Au] Autor:Ebana H; Obara S; Murakawa M
[Ad] Address:Department of Anesthesiology, Fukushima Medical University School of Medicine, 1 Hikarigaka, Fukushima, Fukushima, 960-1295, Japan. eva06111@gmail.com.
[Ti] Title:Mallory-Weiss syndrome diagnosed after tracheal extubation.
[So] Source:J Anesth;, 2018 Jan 13.
[Is] ISSN:1438-8359
[Cp] Country of publication:Japan
[La] Language:eng
[Pt] Publication type:LETTER
[Em] Entry month:1801
[Cu] Class update date: 180114
[Lr] Last revision date:180114
[St] Status:Publisher
[do] DOI:10.1007/s00540-017-2445-9

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[PMID]: 29224657
[Au] Autor:Storace M; Martin JG; Shah J; Bercu Z
[Ad] Address:Department of Radiology, Division of Interventional Radiology and Image Guided Medicine, Emory University School of Medicine, Atlanta, GA. Electronic address: mstorac@emory.edu.
[Ti] Title:CTA As an Adjuvant Tool for Acute Intra-abdominal or Gastrointestinal Bleeding.
[So] Source:Tech Vasc Interv Radiol;20(4):248-257, 2017 Dec.
[Is] ISSN:1557-9808
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:Hematemesis and acute postsurgical upper gastrointestinal hemorrhage are common emergent on-call consultations for the interventional radiologist. Upper GI bleleding (UGIB) is a relatively frequent problem. The incidence and mortality vary among patient populations, but studies have shown an overall incidence ranging from 36-172 cases per 100,000 adults per year, with a mortality rate of 5%-14%. The incidence is significantly higher in men. Peptic ulcer disease is the predominant etiology, responsible for 28%-59% of UGIB. Other causes include varices, mucosal erosive disease, Mallory-Weiss syndrome, and malignancy. After assessment of hemodynamic status and airway stability with resuscitative efforts as needed, initial consultation with gastroenterology for endoscopic evaluation and treatment is well regarded as the initial therapeutic strategy. Angiography with embolization and interventional techniques directed at managing variceal hemorrhage have emerged as very capable second-line strategies for patients who have failed endoscopic therapy. In certain circumstances, the interventional radiologist may be called upon as the first line, notably for patients who have had recent surgical intervention or who have extraluminal hemorrhage. As the role of the interventional radiologist in the evaluation and treatment of UGIB continues to evolve, familiarity and knowledge of how to deal with these urgent and emergent clinical scenarios becomes paramount.
[Mh] MeSH terms primary: Computed Tomography Angiography
Esophageal and Gastric Varices/complications
Gastrointestinal Hemorrhage/diagnostic imaging
Postoperative Hemorrhage/diagnostic imaging
[Mh] MeSH terms secundary: Adult
Balloon Occlusion
Computed Tomography Angiography/instrumentation
Embolization, Therapeutic
Endoscopy, Gastrointestinal
Esophageal and Gastric Varices/diagnosis
Gastrointestinal Hemorrhage/etiology
Gastrointestinal Hemorrhage/therapy
Hematemesis/etiology
Hemostasis, Endoscopic
Humans
Male
Middle Aged
Postoperative Hemorrhage/etiology
Postoperative Hemorrhage/therapy
Predictive Value of Tests
Radiography, Interventional
Risk Factors
Treatment Outcome
[Pt] Publication type:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Entry month:1801
[Cu] Class update date: 180105
[Lr] Last revision date:180105
[Js] Journal subset:IM
[Da] Date of entry for processing:171212
[St] Status:MEDLINE

  3 / 675 MEDLINE  
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[PMID]: 28303554
[Au] Autor:Marini T; Desai A; Kaproth-Joslin K; Wandtke J; Hobbs SK
[Ad] Address:Department of Imaging Sciences, University of Rochester Medical Center, 601 Elmwood Ave, Box 648, Rochester, NY, 14642, USA. Thomas_Marini@urmc.rochester.edu.
[Ti] Title:Imaging of the oesophagus: beyond cancer.
[So] Source:Insights Imaging;8(3):365-376, 2017 Jun.
[Is] ISSN:1869-4101
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:Non-malignant oesophageal diseases are critical to recognize, but can be easily overlooked or misdiagnosed radiologically. In this paper, we cover the salient clinical features and imaging findings of non-malignant pathology of the oesophagus. We organize the many non-malignant diseases of the oesophagus into two major categories: luminal disorders and wall disorders. Luminal disorders include dilatation/narrowing (e.g. achalasia, scleroderma, and stricture) and foreign body impaction. Wall disorders include wall thickening (e.g. oesophagitis, benign neoplasms, oesophageal varices, and intramural hematoma), wall thinning/outpouching (e.g. epiphrenic diverticulum, Zenker diverticulum, and Killian-Jamieson diverticulum), wall rupture (e.g. iatrogenic perforation, Boerhaave Syndrome, and Mallory-Weiss Syndrome), and fistula formation (e.g. pericardioesophageal fistula, tracheoesophageal fistula, and aortoesophageal fistula). It is the role of the radiologist to recognize the classic imaging patterns of these non-malignant oesophageal diseases to facilitate the delivery of appropriate and prompt medical treatment. TEACHING POINTS: • Nonmalignant oesophageal disease can be categorised by the imaging appearance of wall and lumen. • Scleroderma and achalasia both cause lumen dilatation via different pathophysiologic pathways. • Oesophageal wall thickening can be inflammatory, neoplastic, traumatic, or vascular in aetiology.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1703
[Cu] Class update date: 170816
[Lr] Last revision date:170816
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1007/s13244-017-0548-3

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[PMID]: 28167214
[Au] Autor:Jensen DM; Kovacs TOG; Ohning GV; Ghassemi K; Machicado GA; Dulai GS; Sedarat A; Jutabha R; Gornbein J
[Ad] Address:Center for Ulcer Research and Education Digestive Diseases Research Center, Gastrointestinal Hemostasis Unit, Los Angeles, California; David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California; Veterans Administration Greater Los Angeles Healthcare System, Los An
[Ti] Title:Doppler Endoscopic Probe Monitoring of Blood Flow Improves Risk Stratification and Outcomes of Patients With Severe Nonvariceal Upper Gastrointestinal Hemorrhage.
[So] Source:Gastroenterology;152(6):1310-1318.e1, 2017 May.
[Is] ISSN:1528-0012
[Cp] Country of publication:United States
[La] Language:eng
[Ab] Abstract:BACKGROUND & AIMS: For 4 decades, stigmata of recent hemorrhage in patients with nonvariceal lesions have been used for risk stratification and endoscopic hemostasis. The arterial blood flow that underlies the stigmata rarely is monitored, but can be used to determine risk for rebleeding. We performed a randomized controlled trial to determine whether Doppler endoscopic probe monitoring of blood flow improves risk stratification and outcomes in patients with severe nonvariceal upper gastrointestinal hemorrhage. METHODS: In a single-blind study performed at 2 referral centers we assigned 148 patients with severe nonvariceal upper gastrointestinal bleeding (125 with ulcers, 19 with Dieulafoy's lesions, and 4 with Mallory Weiss tears) to groups that underwent standard, visually guided endoscopic hemostasis (control, n= 76), or endoscopic hemostasis assisted by Doppler monitoring of blood flow under the stigmata (n= 72). The primary outcome was the rate of rebleeding after 30 days; secondary outcomes were complications, death, and need for transfusions, surgery, or angiography. RESULTS: There was a significant difference in the rates of lesion rebleeding within 30 days of endoscopic hemostasis in the control group (26.3%) vs the Doppler group (11.1%) (P= .0214). The odds ratio for rebleeding with Doppler monitoring was 0.35 (95% confidence interval, 0.143-0.8565) and the number needed to treat was 7. CONCLUSIONS: In a randomized controlled trial of patients with severe upper gastrointestinal hemorrhage from ulcers orother lesions, Doppler probe guided endoscopic hemostasis significantly reduced 30-day rates of rebleeding compared with standard, visually guided hemostasis. Guidelines for nonvariceal gastrointestinal bleeding should incorporate these results. ClinicalTrials.gov no: NCT00732212 (CLIN-013-07F).
[Mh] MeSH terms primary: Endosonography
Hemostasis, Endoscopic/methods
Mallory-Weiss Syndrome/therapy
Peptic Ulcer Hemorrhage/therapy
Ultrasonography, Doppler
Vascular Malformations/therapy
[Mh] MeSH terms secundary: Aged
Aged, 80 and over
Female
Humans
Male
Mallory-Weiss Syndrome/diagnostic imaging
Middle Aged
Peptic Ulcer Hemorrhage/diagnostic imaging
Recurrence
Regional Blood Flow
Risk Assessment/methods
Severity of Illness Index
Single-Blind Method
Treatment Outcome
Vascular Malformations/diagnostic imaging
[Pt] Publication type:JOURNAL ARTICLE; MULTICENTER STUDY; RANDOMIZED CONTROLLED TRIAL
[Em] Entry month:1708
[Cu] Class update date: 170927
[Lr] Last revision date:170927
[Js] Journal subset:AIM; IM
[Da] Date of entry for processing:170208
[St] Status:MEDLINE

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[PMID]: 28007004
[Au] Autor:Corral JE; Keihanian T; Krner PT; Dauer R; Lukens FJ; Sussman DA
[Ad] Address:a Division of Gastroenterology and Hepatology , Mayo Clinic , Jacksonville , FL , USA.
[Ti] Title:Mallory Weiss syndrome is not associated with hiatal hernia: a matched case-control study.
[So] Source:Scand J Gastroenterol;52(4):462-464, 2017 Apr.
[Is] ISSN:1502-7708
[Cp] Country of publication:England
[La] Language:eng
[Ab] Abstract:BACKGROUND/OBJECTIVE: Hiatal hernia is considered to be a predisposing factor to develop Mallory-Weiss Syndrome (MWS). No large case-control studies verifying this hypothesis have been conducted. METHODS: We reviewed all esophagogastroduodenoscopies with findings of MWS (n = 2342) in a national database and compared with age and gender-matched controls (n = 9368). Demographics, endoscopic characteristics and presence of a hiatal hernia were compared between both groups. Average age was 56.7 18.6 years, and 72.4% were male. RESULTS: Hiatal hernia was more common in controls, and no significant difference was seen in a multivariate analysis. CONCLUSION: Dynamic changes inducing mucosal tension are more relevant determinants to develop MWS than gastro-esophageal junction location alone.
[Mh] MeSH terms primary: Gastrointestinal Hemorrhage/etiology
Hernia, Hiatal/epidemiology
Mallory-Weiss Syndrome/complications
[Mh] MeSH terms secundary: Adult
Aged
Case-Control Studies
Databases, Factual
Endoscopy, Digestive System
Esophagogastric Junction/pathology
Female
Humans
Logistic Models
Male
Middle Aged
Mucous Membrane/pathology
Multivariate Analysis
United States
[Pt] Publication type:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Entry month:1709
[Cu] Class update date: 170911
[Lr] Last revision date:170911
[Js] Journal subset:IM
[Da] Date of entry for processing:161224
[St] Status:MEDLINE
[do] DOI:10.1080/00365521.2016.1267793

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[PMID]: 27351654
[Au] Autor:Shi D; Li R; Chen W; Zhang D; Zhang L; Guo R; Yao P; Wu X
[Ad] Address:Department of Gastroenterology, The First Affiliated Hospital of Soochow University, 188 Shizi Street, Suzhou, China.
[Ti] Title:Application of novel endoloops to close the defects resulted from endoscopic full-thickness resection with single-channel gastroscope: a multicenter study.
[So] Source:Surg Endosc;31(2):837-842, 2017 Feb.
[Is] ISSN:1432-2218
[Cp] Country of publication:Germany
[La] Language:eng
[Ab] Abstract:BACKGROUND: The key step of the endoscopic full-thickness resection (EFTR) procedure is the successful closure of any gastric wall defect which ultimately avoids surgical intervention. This report presents a new method of closing large gastric defects left after EFTR, using metallic clips and novel endoloops by means of single-channel endoscope. METHODS: We retrospectively analyzed 68 patients who were treated for gastric fundus gastrointestinal stromal tumors originating from the muscularis propria layer at four institutes between April 2014 and February 2015 and consequently underwent EFTR. The large gastric post-EFTR defects were completely closed with metallic clips and novel endoloops using single-channel endoscope, and all the patients were discharged with subsequent endoscopic and clinical follow-up. Patient characteristics, tumor size, en bloc resection rate, closure operation time, and postoperative adverse events were evaluated. RESULTS: EFTR was successfully performed on 68 patients [41 male (60%), 27 female (40%); median age 61years, range 38-73], and the en bloc resection rate was 100%. Complete closure of all the gastric post-EFTR defects was achieved (success rate 100%). The mean closure operation time was 13min (range 9-21min). The mean maximum size of the lesions was 2.6cm (range 2.0-3.5cm). One Mallory-Weiss syndrome and one delayed bleeding were resolved with nonsurgical treatment. The wounds were healed in all cases 1month after the procedure. CONCLUSIONS: The use of metallic clips and novel endoloops with single-channel endoscope is a relatively safe, easy, and feasible method for repairing large gastric post-EFTR defects.
[Mh] MeSH terms primary: Gastrectomy/methods
Gastric Fundus/surgery
Gastrointestinal Stromal Tumors/surgery
Gastroscopy/methods
Stomach Neoplasms/surgery
Surgical Instruments
Wound Closure Techniques/instrumentation
[Mh] MeSH terms secundary: Adult
Aged
Female
Gastrectomy/instrumentation
Gastroscopes
Gastroscopy/instrumentation
Humans
Male
Middle Aged
Muscle, Smooth
Operative Time
Postoperative Complications/epidemiology
Retrospective Studies
[Pt] Publication type:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Entry month:1708
[Cu] Class update date: 171010
[Lr] Last revision date:171010
[Js] Journal subset:IM
[Da] Date of entry for processing:160629
[St] Status:MEDLINE
[do] DOI:10.1007/s00464-016-5041-4

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[PMID]: 27624697
[Au] Autor:Lee S; Ahn JY; Jung HY; Jung KW; Lee JH; Kim DH; Choi KD; Song HJ; Lee GH; Kim JH; Kim SO
[Ad] Address:Department of Gastroenterology, University of Ulsan College of Medicine, Asan Medical Center, Asan Digestive Disease Research Institute, Seoul, Korea.
[Ti] Title:Effective endoscopic treatment of Mallory-Weiss syndrome using Glasgow-Blatchford score and Forrest classification.
[So] Source:J Dig Dis;17(10):676-684, 2016 Oct.
[Is] ISSN:1751-2980
[Cp] Country of publication:Australia
[La] Language:eng
[Ab] Abstract:OBJECTIVES: There is limited data on whether scoring systems can be used to predict clinical outcomes in patients with upper gastrointestinal bleeding due to Mallory-Weiss syndrome (MWS). We aimed to evaluate whether the Glasgow-Blatchford score (GBS) could be effective in predicting clinical outcomes of bleeding MWS and to investigate the predictive ability of the Forrest classification for rebleeding and assess the effective endoscopic modalities for bleeding control in MWS. METHODS: From January 2004 to December 2012 168 patients were diagnosed with MWS in the Asan Medical Center Emergency Department. We analyzed their clinical outcomes, including endoscopic treatment, transfusion and admission as well as the rates of rebleeding and mortality using GBS and the Forrest classification, retrospectively. RESULTS: Endoscopic treatment was applied to patients. The GBS was significantly higher in patients treated with endoscopic therapy than in the conservative treatment group (6.8 3.7 vs 5.1 4.7, P = 0.011). In patients with a GBS of >6 the rates of endoscopic treatment and rebleeding and the need for transfusion and admission were significantly higher (all P < 0.05). The Forrest classification was able to predict recurrent bleeding (area under the receiver operating characteristic curve 0.723, 95% confidence interval 0.609-0.836, P = 0.025). Hemoclip-based therapy and band ligation achieved higher success rates than did injection therapy alone in preventing rebleeding (96.4%, 88.9% and 71.4%, P = 0.013). CONCLUSION: In MWS, GBS might be useful for predicting clinical outcomes and the Forrest classification in predicting recurrent bleeding.
[Mh] MeSH terms primary: Esophagoscopy/methods
Mallory-Weiss Syndrome/diagnosis
Mallory-Weiss Syndrome/surgery
Severity of Illness Index
[Mh] MeSH terms secundary: Adult
Female
Gastrointestinal Hemorrhage/etiology
Gastrointestinal Hemorrhage/surgery
Humans
Male
Mallory-Weiss Syndrome/complications
Middle Aged
Prognosis
Recurrence
Risk Factors
Treatment Outcome
[Pt] Publication type:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Entry month:1705
[Cu] Class update date: 170502
[Lr] Last revision date:170502
[Js] Journal subset:IM
[Da] Date of entry for processing:160915
[St] Status:MEDLINE
[do] DOI:10.1111/1751-2980.12409

  8 / 675 MEDLINE  
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[PMID]: 27213253
[Au] Autor:Cybulka B
[Ti] Title:Malory-Weis syndrome based on own experience - diagnostics and modern principles of management.
[So] Source:Pol Przegl Chir;88(2):77-86, 2016 Mar 01.
[Is] ISSN:2299-2847
[Cp] Country of publication:Poland
[La] Language:eng
[Ab] Abstract:UNLABELLED: Every gastrointestinal bleeding is an immediate threat to life, requiring close supervision in a hospital setting and making it mandatory to perform verification and endoscopic intervention. In some cases of a dynamic course, in order to make up deficiencies, it is necessary to use blood and blood products. One of the causes of bleeding located proximally to the ligament of Treitz is damage to the mucous membrane and deeper layers of the gastroesophageal junction, called Mallory-Weiss syndrome. The aim of the study was retrospective analysis of a selected group of patients with symptomatic upper gastrointestinal bleeding in the course of Mallory-Weiss syndrome, identification of typical characteristics of this disease entity in the studied population as well as demonstration of the effectiveness of endoscopic treatment using argon plasma coagulation (APC). MATERIAL AND METHODS: The analysis included 2120 gastroscopy results, with 111 (5.24%) examinations conducted due to symptomatic gastrointestinal bleeding. In the studied group, endoscopic diagnosis of Mallory-Weiss syndrome was made in 22 patients (1.04%). RESULTS: The studied disease entity was the cause of upper gastrointestinal bleeding in 19.82% of cases. Although this condition is usually characterised by a mild and self-limiting course, 59.09% of patients in the studied group required therapeutic endoscopic intervention due to active bleeding. In 54.55%, argon plasma coagulation was successfully used to control the source of bleeding. CONCLUSIONS: Early gastroscopy, which remains both a diagnostic and therapeutic intervention, guarantees effective control of the clinical course of Mallory-Weiss syndrome. Endoscopic argon plasma coagulation is an effective way to treat bleeding, used in endoscopic monotherapy or in combination with other procedures.
[Mh] MeSH terms primary: Argon Plasma Coagulation
Gastrointestinal Hemorrhage/diagnosis
Gastrointestinal Hemorrhage/therapy
Mallory-Weiss Syndrome/diagnosis
Mallory-Weiss Syndrome/therapy
[Mh] MeSH terms secundary: Adult
Aged
Aged, 80 and over
Female
Gastrointestinal Hemorrhage/epidemiology
Gastroscopy
Humans
Male
Mallory-Weiss Syndrome/epidemiology
Middle Aged
Poland/epidemiology
Young Adult
[Pt] Publication type:JOURNAL ARTICLE
[Em] Entry month:1704
[Cu] Class update date: 170424
[Lr] Last revision date:170424
[Js] Journal subset:IM
[Da] Date of entry for processing:160524
[St] Status:MEDLINE

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[PMID]: 27125439
[Au] Autor:Gimiga N; Olaru C; Diaconescu S; Miron I; Burlea M
[Ad] Address:Department of Pediatrics, St. Mary Children's Emergency Hospital, Jassy, Romania - turti23@yahoo.com.
[Ti] Title:Upper gastrointestinal bleeding in children from a hospital center of Northeast Romania.
[So] Source:Minerva Pediatr;68(3):189-95, 2016 Jun.
[Is] ISSN:1827-1715
[Cp] Country of publication:Italy
[La] Language:eng
[Ab] Abstract:BACKGROUND: The aim of this study was to investigate the common etiologies, clinical and biological patterns of upper gastrointestinal bleeding (UGIB) in children from a hospital center in Northeast Romania. METHODS: This seven-year retrospective study was performed from 2007 to 2013 in St. Mary Children's Emergency Hospital, Jassy, Romania and included all children who referred to our center with UGIB exteriorized by hematemesis or melena. Endoscopy was performed under conscious sedation/general anesthesia after the informed consent was obtained. RESULTS: One hundred and three patients aged 1-18 years were included in this study. There were 57 males and 46 females with male to female ratio 1.2:1; 43.69% presented with hematemesis, 31.07% had melena and 25.24% had both. The most common causes of UGIB were erosive gastritis (33.98%), followed by esophagitis (14.56%), duodenitis (11.65%), duodenal ulcer (10.68%), gastric ulcer (5.83%), esophageal varices (4.85%), Mallory-Weiss syndrome (1.94%); multiple etiologies counted for 16.50% cases. A certain bleeding source was found in 34.95% cases, a possible one in 39.81% of the patients; the source could not be ascertained in 25.24% of cases. Nonsteroidal anti-inflammatory drug (NSAID) consumption was documented in in 17.51% of patients. The incidence of H. pylori infection was 36.89%. CONCLUSIONS: The most common cause of of upper GI bleeding in our series was gastritis, followed by oesophagitis and duodenitis. Most of the patients presented with hematemesis; previous consumption of NSAIDs and H. pylori infection were associated with gastroduodenal ulceration and bleeding. Early endoscopy was associated with a higher detection rate of the bleeding source.
[Mh] MeSH terms primary: Endoscopy, Gastrointestinal/methods
Gastrointestinal Hemorrhage/etiology
Hematemesis/etiology
Melena/etiology
[Mh] MeSH terms secundary: Adolescent
Anti-Inflammatory Agents, Non-Steroidal/adverse effects
Child
Child, Preschool
Duodenitis/complications
Duodenitis/diagnosis
Duodenitis/epidemiology
Esophagitis/complications
Esophagitis/diagnosis
Esophagitis/epidemiology
Female
Gastritis/complications
Gastritis/diagnosis
Gastritis/epidemiology
Gastrointestinal Hemorrhage/pathology
Helicobacter Infections/complications
Helicobacter Infections/diagnosis
Helicobacter Infections/epidemiology
Hematemesis/epidemiology
Humans
Incidence
Infant
Male
Melena/epidemiology
Peptic Ulcer/complications
Peptic Ulcer/diagnosis
Peptic Ulcer/epidemiology
Retrospective Studies
Romania/epidemiology
[Pt] Publication type:JOURNAL ARTICLE
[Nm] Name of substance:0 (Anti-Inflammatory Agents, Non-Steroidal)
[Em] Entry month:1709
[Cu] Class update date: 170904
[Lr] Last revision date:170904
[Js] Journal subset:IM
[Da] Date of entry for processing:160430
[St] Status:MEDLINE

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[PMID]: 26998186
[Au] Autor:Cherednikov EF; Kunin AA; Cherednikov EE; Moiseeva NS
[Ad] Address:Faculty of General Medicine, The Department of Faculty Surgery, Voronezh N.N. Burdenko State Medical University, Avenue of Revolution Str. 14, Voronezh, Russia.
[Ti] Title:The role of etiopathogenetic aspects in prediction and prevention of discontinuous-hemorrhagic (Mallory-Weiss) syndrome.
[So] Source:EPMA J;7:7, 2016.
[Is] ISSN:1878-5077
[Cp] Country of publication:Switzerland
[La] Language:eng
[Ab] Abstract:The article contains an overview of the literature on Mallory-Weiss syndrome. It analyzes numerous etiological factors, provides new insights into the pathogenesis of the disease, gives a description of a previously unknown dependence of discontinuous-hemorrhagic syndrome on the topographic and structural features of the cardioesophageal area of the digestive tract, and gives scientific credence to methods of prediction, prevention, and treatment of the syndrome with complex involvement of granular sorbents.
[Pt] Publication type:JOURNAL ARTICLE; REVIEW
[Em] Entry month:1603
[Cu] Class update date: 170512
[Lr] Last revision date:170512
[Da] Date of entry for processing:160322
[St] Status:PubMed-not-MEDLINE
[do] DOI:10.1186/s13167-016-0056-4


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