Summary
doi: 10.25005/2074-0581-2015-17-2-38-41
Mallory-Weiss syndrome in patients with liver cirrhosis
1Institute of Gastroenterology of AMS of the MHand SPP RT
2Chair of Endosurgery Avicenna TSMU
The results of comprehensive diagnostics and treatment of patients with bleeding from the upper gastrointestinal tract of varicose and non-varicose origin were shown in article. Varicose veins of the esophagus and stomach in patients with liver cirrhosis (LC) is not always the only source of bleeding in portal hypertension, and combined in 10-15% of cases with Mallory-Weiss syndrome. We observed 84 patients with liver cirrhosis having portal hypertension, of whom 62 (73,8%) patients had esophagealgastric bleeding. The combination of portal hypertension with Mallory-Weiss syndrome found in 16 (25,8%) patients.
Treatment of hemorrhagic syndrome in cirrhotic patients in combination with Mallory-Weiss syndrome should be comprehensive, aimed at hemostasis, supplementation of circulating blood volume with mandatory inclusion of hepatotropic and hepatoprotective drugs.
Keywords: Mallory-Weiss syndrome, portal hypertension, varicose veins of the esophagus, esophageal bleeding, endo-ligation.
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