Abstract
During the past 8 years 115 cases of the M-W syndrome were experienced. The age distribution ranged from 22 to 83, with an average of 51.5. Male cases were 92.2% of total. As the direct etiology of the M-W syndrome, retching or vomiting was seen in 98.3% of the cases. Occurence of the M-W syndrome after alcohol ingestion was 50.4% of the cases, but daily drinkers were 72.2% of the cases. Most of the tears were located in stomach (79.2%), in which 51.5% of the tears were observed on the lesser curvature. Forty seven (92.2%) out of 51 cases which were examined histologically were accompanied with atrophic gastritis. Only 15 among 112 cases (13.4%) showed a complication of definite hiatal hernia. In conclusion, It is speculated that chronic atrophic gastritis is the most important predisposing factor.
