Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

Personal portfolio

WAYS TO OPTIMIZE THE DIAGNOSTIC AND TREATMENT PROCESS AT MALLORY – WEISS SYNDROME

Sopuev A.A. 1 Kudaiberdiev A.T. 1 Ovcharenko K.E. 1
1 National Surgical Centre of the Ministry of Health of the Kyrgyz Republic
Mallory – Weiss syndrome (gastrointestinal discontinuous-hemorrhagic syndrome) – rupture of the mucous membrane of the stomach or the terminal part of the oesophagus , accompanied by bleeding or penetration into the mediastinum, with a concomitant mediastinitis. There were male 87.9 %, female – 12.1 % in the study group The age structure of patients with MWS was as follows: age 21–60 years was 83.7 %, face up to 20 years – 3.1 %, over 60 years – 13.2 %. The main etiological factors were vomiting for alcohol intoxication; diaphragmatic hernia, atrophic gastritis, esophagitis. In some cases, the Mallory – Weiss syndrome developed without apparent reason. The study, presented in this article is aimed at optimizing the diagnostic and treatment algorithm for patients with Mallory -Weiss syndrome (MWS). The authors propose to focus on the clinical and anatomical stage and detail the degree of activity of hemorrhage. The most important role in the diagnosis of MWS plays endoscopy. The most severe and active forms of bleeding (F-la, F-ld and F- 1s) met with stages II and III. Conservative treatment was carried out in 71.3 % of the total patients. In our study, recurrence of bleeding after surgery were observed in 2 (15.3 %) of 13 patients after local irrigation area breaks – at 14.6 %. Overall mortality after using all methods of treatment was 3.4 %.