Mallory-Weiss syndrome surgery: Difference between revisions

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{{Mallory-Weiss syndrome}}
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==Overview==
Surgical oversewing of the tear is reserved for those who fail angiographic therapy.


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==Surgery==
==Overview==
* Surgical oversewing of the tear is reserved for those who fail angiographic therapy.<ref name="pmid5358896">{{cite journal |vauthors=Weaver DH, Maxwell JG, Castleton KB |title=Mallory-Weiss syndrome |journal=Am. J. Surg. |volume=118 |issue=6 |pages=887–92 |year=1969 |pmid=5358896 |doi= |url=}}</ref><ref name="pmid5549813">{{cite journal |vauthors=Dill JE, Wells RF |title=Use of vasopressin in the Mallory-Weiss syndrome |journal=N. Engl. J. Med. |volume=284 |issue=15 |pages=852–3 |year=1971 |pmid=5549813 |doi= |url=}}</ref><ref name="pmid7447523">{{cite journal |vauthors=Michel L, Serrano A, Malt RA |title=Mallory-Weiss syndrome. Evolution of diagnostic and therapeutic patterns over two decades |journal=Ann. Surg. |volume=192 |issue=6 |pages=716–21 |year=1980 |pmid=7447523 |pmc=1344969 |doi= |url=}}</ref>
Surgical oversewing of the tear is reserved for the occasional bleeding case that is refractory to endoscopic therapy or angiotherapy.
 
* Surgery is an alternative if:
** An interventional radiologist with expertise in transarterial embolization is not available
**The lesion is unlikely to respond to angiographic therapy
**Any condition that may complicate the ability to perform angiography or transarterial embolization (eg, renal insufficiency).


==References==
==References==
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Latest revision as of 18:46, 8 November 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2]

Overview

Surgical oversewing of the tear is reserved for those who fail angiographic therapy.

Surgery

  • Surgical oversewing of the tear is reserved for those who fail angiographic therapy.[1][2][3]
  • Surgery is an alternative if:
    • An interventional radiologist with expertise in transarterial embolization is not available
    • The lesion is unlikely to respond to angiographic therapy
    • Any condition that may complicate the ability to perform angiography or transarterial embolization (eg, renal insufficiency).

References

  1. Weaver DH, Maxwell JG, Castleton KB (1969). "Mallory-Weiss syndrome". Am. J. Surg. 118 (6): 887–92. PMID 5358896.
  2. Dill JE, Wells RF (1971). "Use of vasopressin in the Mallory-Weiss syndrome". N. Engl. J. Med. 284 (15): 852–3. PMID 5549813.
  3. Michel L, Serrano A, Malt RA (1980). "Mallory-Weiss syndrome. Evolution of diagnostic and therapeutic patterns over two decades". Ann. Surg. 192 (6): 716–21. PMC 1344969. PMID 7447523.


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