Mallory-Weiss症候群

―自験例10例とその考察―

抄録

Recently, the Mallory-Weiss syndrome has been noticed as one of the cause of the upper gastrointestinal bleeding. Reviewing the Japanese literatures until 1976, we collected 216 cases of the Mallory-Weiss syndrome. Now in Japan, the Mallory-Weiss syndrome is not so rare disease.1) We experienced ten cases of the Mallory-Weiss syn- drome during three years f som 1975 to 1977. The age distribution was from 31 to 69 years of age, and the average age was 45.9 years. All of them were male. As the causes of on set, 7 cases had episode of vomiting, 2 cases had retching and a case had episode of coughing All cases developed symptom after drinking. As for the interval between the on set and the establishment of endoscopical diagnosis, the shortest case was diagnosed 5 hours after hematemesis, and the longest case was diagnosed 96 hours after hematemesis. The average time interval was 29.5 hours. Emergency endoscopy was performed to all patients within 18 hours after first consultation. Only one case required surgical therapy repairing mucosal laceration, and partial gastrectomy was carried out for duodenal ulcer. None of the patient died. The endoscopic films of three cases which were followed up from the initial stage to the healed stage were demonstrated. Nine cases were notso severe and bleeding was small in amount. Only a case required the blood transfusion. All of the lacerations healed in a comparatively short term.2) We collected 216 cases of the Mallory-Weiss syndrome which were reported in Japan, and clinical pictures of these reported cases were compared to our 10 cases.3) Schematic diagram was made on the etiology of the Mallory-Weiss syndrome.