RESULTS OF TREATMENT OF MALLORY-WEISS SYNDROME

SOLUTION OF SOCIAL PROBLEMS IN

MANAGEMENT AND ECONOMY

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RESULTS OF TREATMENT OF MALLORY-WEISS SYNDROME

Napasov S.S.

Kalandarov I.A.

Yusupov Sh.B.

Khorezm branch of Republican research centre of emergency medicine

https://doi.org/10.5281/zenodo.11169695

Relevance.

Mallory-Weiss syndrome ranks first among non-ulcerative

gastroduodenal bleeding. The disease is mainly found in representatives of the
stronger sex aged 45-60 years, who consume excessive amounts of alcohol. To
date, the main method of diagnosing Mallory-Weiss syndrome at the present
stage is esophagogastroduodenoscopy, which is performed urgently and allows
you to establish not only the etiology of bleeding, but also the nature [1, 2, 3, 4,
5].

The purpose of the study.

To study the effectiveness of injectable

hemostasis methods in Mallory-Weiss syndrome.

Materials and methods.

The study included 28 patients who were

hospitalized in the Khorezm branch of the Republican research centre of
emergency medicine for Mallory–Weiss syndrome, in the period from 2015 to
2020.

Results.

Based on these criteria, such as length, width and depth of

rupture according to the clinical and anatomical features of Mallory-Weiss
syndrome, it can be divided into the following 4 stages according to the
classification of S.V. Timerbulatov.

To treat these patients, we used an endoscopic injection with 0.01%

epinephrine solution.

Of all the patients, 96% (n=27) were male, and only 4% (n=1) belonged to

the female sex.

The average age of men was 55-56 years, and the average age of women

was 67-68 years.

Endoscopic injections were performed within 3 hours after

hospitalization. All patients were hospitalized in the intensive care unit to
prepare the upper digestive tract for endoscopic manipulations.

Injectable hemostasis with 0.01% epinephrine solution was used. There

were 28 patients in this group with different stages of Mallory-Weiss syndrome.
Effective treatment using this method was observed only in 9 (32%) patients, 7
of whom were patients with stage I Mallory-Weiss syndrome, and the remaining
2 patients with stage II. Only 2 patients with stage II Mallory-Weiss syndrome

SOLUTION OF SOCIAL PROBLEMS IN

MANAGEMENT AND ECONOMY

International scientific-online conference

35

managed to achieve complete hemostasis, while the rest experienced repeated
bleeding. And in patients with stage III and IV, this method was absolutely
ineffective.

Conclusions.

Injectable hemostasis with 0.01% epinephrine solution gives the

best result, in patients with stage I of Mallory -Weiss syndrome and menne is
effective with stage II. In patients with stage III and IV, this method was
absolutely ineffective.

References:

1. Yakubov F.R., Erniyazov E.A., Sapaev D.S. (2023). Modern Treatment of
Mallory-Weiss Syndrome. International journal of health systems and medical
sciences,

2(4),

27–33.

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from

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