The vast majority of cases, the syndrome manifests itself in men over 45 years old who abuse alcohol. Syndrome Mallory-Weiss begins with a sudden increase in pressure in the upper part of the gastrointestinal tract. Vomiting often occurs with overeating, pancreatitis, pregnancy, cholecystitis, etc. Other reasons may be severe cough, hiccups, diaphragmatic hernias, blunt abdominal trauma, fall from a height. Clinically, the syndrome
Melora-Weiss syndrome is manifested by the presence in the vomit blood, and during
The first attack, the blood is missing. In addition to vomiting with the admixtures of blood in patients
With this syndrome are abdominal pain and black stools.
The Syndrome of Mallory-Weiss tears diagnosed by endoscopic study to determine longitudinal mucosal lacerations of the esophagus.
Also detects common signs of bleeding are: cold clammy sweat, pale colour of the skin, tachycardia, lethargy, and hypotension. In some cases, the syndrome of Mallory-Weiss tears can cause the development of shock. In the analysis of blood can detect a decrease in the number of erythrocytes, lower hemoglobin levels, an increase in the number of platelets.
To restore the blood volume applied conservative therapy, depressing syndrome of Mallory-veis. Treatment in this case is
The introduction of colloidal and kristalovich solutions. When heavy blood loss
Apply blood transfusions and metoclopramide. To stop bleeding
Use the Blakemore tube. Due to mechanical squeezing of blood vessels is observed
Hemostatic effect. To stop the bleeding is also possible using
Etamzilata sodium, aminocaproic acid, calcium chloride and octreotide.
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The Syndrome of Mallory-Weiss tears stop also endoscopically. Place bleeding oblivaetsya adrenaline, resulting is achieved by vasoconstrictor effect. The most effective method is
Argon-plasma coagulation, which gives the possibility of obtaining resistant
Hemostasis. Administration of epinephrine combined with electrocoagulation. With the introduction of
Sclerosant (polidocanol) also observed good hemostatic effect. With the development of the syndrome is often used for the ligation of vessels by overlaying the vessel ligatures. Especially justified this method of varicose vessels of the esophagus and portal hypertension. A similar method is applied to bleeding vessels by means of an applicator clips.
Surgical treatment in the absence of effect of the endoscopic
Methods and conservative treatment. In this case, the operation is performed Bay:
Flashing damaged blood vessels. In most cases, the prognosis for life in the development of the syndrome is favorable. Bleeding
Stopped by a conservative, endoscopic treatment or
Surgical intervention, or independently.
The Prevention of such diseases as the syndrome Malory-Weiss tears is to prevent retching and vomiting. The main cause of the syndrome becomes excessive intake of alcohol and subsequent intoxication. Therefore, the main measure of preventive measures is the fight against the excessive consumption of alcohol. Not less important is the
Adequate and timely treatment of acute and chronic diseases of the gastrointestinal tract, which
Accompanied by vomiting.
Diet syndrome should include the use of boiled foods and steamed. Absolutely contraindicated alcohol. Not recommended the use of lemons and other citrus fruits, and foods that can injure the lining of the esophagus. From the diet should be excluded pickles, smoked meat, and spices. A good remedy folk medicine in the cracks of the esophagus is the fasting one tablespoon of pumpkin seed oil daily for a month.
Alin Trodden - author of the article, editor
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