[Skip to Content]
[Skip to Content Landing]
Article
May 1964

The Mallory-Weiss SyndromeIncreasing Surgical Significance

Author Affiliations

CHICAGO
From the departments of surgery, Cook County Hospital, Northwestern University Medical School, and The University of Illinois College of Medicine, and the Hektoen Institute of Medical Research of Cook County Hospital.

Arch Surg. 1964;88(5):882-887. doi:10.1001/archsurg.1964.01310230158029
Abstract

Mallory and Weiss in 1929 reported 15 patients with gastrointestinal bleeding following repeated emesis.7 Autopsy findings in four of the patients demonstrated two or more linear tears in the mucosa of the esophagastric junction as the sole lesion responsible for exsanguinating hemorrhage. In 11 patients, similar histories of excessive alcoholic ingestion and the violent retching of nonbloody material prior to the onset of painless hematemesis were elicited. Since bleeding stopped spontaneously, the existence of the typical lesion was not confirmed. Subsequent reports,1-6,9-13 consisting largely of postmortem studies and case histories of patients treated surgically for this condition, have served to broaden the original idea of its pathogenesis. Our experience with this entity on the surgical services of a large charity hospital suggests that prevailing concepts of its frequency, clinical characteristics, and methods of management merit reappraisal.

Material and Methods  Thirteen patients admitted to the surgical services of Cook

First Page Preview View Large
First page PDF preview
First page PDF preview
×