GASTRO-ESOPHAGEAL LACERATION SYNDROME (MELLORI-WEESS)

Abstract

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Background. The proportion of patients with Mallory-Weiss syndrome (MWS) accounts for about 13-17% of all gastrointestinal bleeding. Aim. To study the gender and morphological features of the course of the MWS. Material and Methods. The analysis of 102 patients treated with MWS was carried out. Results and Discussion. Localization of the defect (102 patients): on the right defect was present in 39 (38.1%) patients; behind - in 35 (34.1%); on the left - in 13 (12.5%); in the front - in 16 (15.3%). More often the gap was located on the back and right wall 74 (72.2%). Topographical and anatomical features of the esophageal-gastric transition (PJP) are of decisive importance in the development of MWS. The greatest thickness and strength of the wall is noted in the front sector, which is adjacent to the weakest left. 51% of patients are unemployed. Abuse of alcohol in persons of this group is the main factor of the disease. In persons over 60 years of age, it occurs in 17.6%. Conclusions. The localization of ruptures in MWS is due to the peculiarities of the morphological structure of the PJP: their preferential location in the right and posterior sectors is determined by the lower density of tissues in these sections and the presence of a fixing ligamentous apparatus. A high percentage of unemployed patients suggests an antisocial image of their lives and alcohol abuse. Alcohol intoxication and determines the mechanism of occurrence of ruptures, the course of pathology and the development of possible complications.