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        Mallory - Weiss Syndrome 의 내시경적 (內視鏡的) 관찰

        김두경,방영근,이정인,권영걸,박노춘,양웅석 ( Doo Kyung Kim,Young Keun Bang,Jeong In Lee,Young Girl Kweon,Noh Choon Prak ) 대한소화기학회 1981 대한소화기학회지 Vol.13 No.1

        A clinical study on 16 cases of Mallory-Weiss Syndrome was made in Department of Internal Medicine Wallace Memorial Baptist Hosptital, Busan, Korea during the last 4 years. The results were as follows; The ratio of male to female was 7: I, higher in male, The age distribution was found from 10 years to 69 years, the most frequent age distribution being between 40-49 years of age. 2, As for the precipitating factors, 8 cases of them were alcohol drinking, 3cases were vomiting just before hematemesis, 2 cases epigastric pain, 2 cases hyperemesis gravidarum and 1 case was unknown. 3 As for the anatomical distribution of Mallory-Weiss lesions, 10 cases of them were limited in cardia(62. 5%), 4 cases in esophagogastric junction(25. 0/o), 1 case body of stomach (6 25%) and 1 case was limited in esophagus(6.25%) in the order of decreasing frequency. 4. As for the number of Mallory-Weiss tears, 12 cases of them had single tear(75. 0%), 3 cases had 2 tears(18.75%) and 1case had 4 tears(6.25%) in the order of decreasing frequency. 5 As for the stage of Mallory-%Veiss lesion, linear stage was 9cases(56.25%), open stage 4cases(25. 0%), bleeding stage 2cases(12. 5%) and scarring stage was 1 case(6. 25%) in the order of decreasing frequency. 6. As for the interval between onset of hematemesis and establishment of endoscopic diagnosis, 10 cases were examined from 24 hours to 48 hours, 4 cases over 48 hours and 2 cases were examined within 24 hours. 7. All cases were treated medically and were good prognosis. 8, The incidence of Mallory-Weiss syndrome in upper gastrointestinal bleeding was 6.g]%.

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