Lesions of the Cardiac Orifice of the Stomach Produced by Vomiting

Weiss, Soma

doi:10.1001/jama.1932.02730420011005

Cited by 88 publications

(13 citation statements)

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“…Tearing of the cardiac orifice of the stomach and the adjoining esophagous during vomiting [4] was discovered by Mallory and Weiss during a study of alchoholic adults in whom vomiting was frequent. Weiss describes their findings as: The chief clinical manifestations of these lesions were persistent vomiting and retching, frequently precipitated by alcoholic debauches and associated with massive hematemesis.…”

Section: Mallory-weiss Tears: a Source Of Painmentioning

confidence: 94%

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EsoTensive Colic: The Screaming Infant

Dg¹

2017

J Gastrointest Dig Syst

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Background: Infantile Colic is considered a benign process in which an infant has paroxysms of inconsolable crying for more than three hours per day, more than three days per week, for longer than three weeks. It affects approximately 10% to 40% of infants worldwide and peaks at around six weeks of age, with symptoms resolving by three to six months of age. The incidence is equal between the sexes, and there is no correlation with the type of feeding (breast vs. bottle), gestational age, or socio-economic status. Some colicky infants have attacks of screaming with associated motor behaviours such as flushed face, furrowed brow, clenched fists and legs pulled up to the abdomen. Crying occurs in prolonged bouts. The infants do not respond to normal comforting techniques. Crying onset is unpredictable, spontaneous and unrelated to environmental events. The cause of infantile colic is unknown. It is proposed that there is a form of infant colic, resulting from Mallory Weiss tears near the esophageousstomach junction, caused by distension of the stomach cardiac orifice during vomiting.

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Section: Mallory-weiss Tears: a Source Of Painmentioning

confidence: 94%

“…Once the mucosa is torn it will heal in a few days if undisturbed [11], but if another surge occurs the wound will be re-opened. In the mean-time any reflux will bring acid stomach contents into contact with the wound leading to erosion [14], as Weiss found [4].…”

Section: Gastroesophageal Junction Mechanicsmentioning

confidence: 99%

EsoTensive Colic: The Screaming Infant

Dg¹

2017

J Gastrointest Dig Syst

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“…Среди причин кровотечения СМВ зани-мает второе место (18%) после хронической язвы желуд-ка и двенадцатиперстной кишки [7]. Этот синдром был описан в 1932 г., его связывали с рвотой, вызванной ал-коголем, или грыжей пищеводного отверстия диафраг-мы [8].…”

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The role of surrogate alcoholic beverages in the development of hemorrhage in the patients presenting with Mallory—Weiss syndrome

Al¹,

Dv²,

Aa³

2015

Sud.-med. ekspert.

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“…There was fresh blood and blood-clot in the upper oesophagus, the mucous membrane was haemorrhagic, and the oesophagus was obstructed at mid-oesophageal level. The radiographic appearance after oesophagoscopy is shown 15 The tears in both are longitudinal, close to the cardia in the former, in the lower oesophagus as a rule in the latter with the middle third only occasionally involved. 16 The mucosal tears associated with spontaneous intramural ruptures were not confined to any one segment but were distributed throughout the length of the organ, and the only two described with precision at oesophagoscopy were transverse, while the one exposed at operation was longitudinal.…”

mentioning

confidence: 99%

“…In this series of 20 cases, the initial treatment was conservative in 19, and it resulted in rapid improvement and complete recovery in 15. The four who failed to settle were operated on, on the third, seventh, fourteenth, and eighteenth days respectively.…”

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confidence: 99%

Spontaneous intramural rupture and intramural haematoma of the oesophagus.

Kerr¹

1980

Thorax

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Spontaneous intramural rupture or intramural haematoma of the oesophagus is a rare cause of acute pain in the chest and upper abdomen. Much less ominous than spontaneous complete rupture from which it must be distinguished, it seldom if ever necessitates operation. Five new cases are described and reviewed together with 15 collected from published reports. The dominant symptom of every case was severe and constant retrosternal or epigastric pain; concomitant dysphagia was mentioned in 11 cases. In seven the pain was preceded by or coFincided with vomiting. The condition was related to other stresses in three and appeared to be truly spontaneous in 10. In approximately one-third of cases it started suddenly but more often it began as discomfort worsening rapidly. Fourteen patients vomited blood after experiencing pain but only four were given transfusions. In contradistinction to complete rupture, none had surgical emphysema and plain chest radiographs were unremarkable. All had abnormal gastrografin or barium swallows. Intramural haematomas with or without mucosal tears were seen in the 11 cases in which oesophagoscopy was performed. Fifteen patients made rapid and complete recoveries on conservative management. Of the four who did not respond satisfactorily, one had the oesophagus repaired, two had drainage of the mediastinum after failure to find the false lumen at thoracotomy, and one had only an abdominal exploration. The only death in the whole series occurred after a disastrous emergency exploration and subsequent total oesophagectomy.The first editor of Thorax wrote for the first issue of this journal the article that was largely responsible for transforming spontaneous perforation or rupture of the oesophagus, the Boerhaave syndrome, from a little-known necropsy finding to a generally recognised clinical entity.' After describing the symptoms and signs by which the diagnosis could and should be made during life, Barrett argued that immediate repair was the logical method of treatment and offered the best hope of survival, and a year later he himself had the satisfaction of proving his thesis by recording the first succesful operation for that catastrophic condition.2 While there can be few nowadays who would recomend conservative management for

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Lesions of the Cardiac Orifice of the Stomach Produced by Vomiting

Cited by 88 publications

References 1 publication

EsoTensive Colic: The Screaming Infant

EsoTensive Colic: The Screaming Infant

The role of surrogate alcoholic beverages in the development of hemorrhage in the patients presenting with Mallory—Weiss syndrome

Spontaneous intramural rupture and intramural haematoma of the oesophagus.

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