Lesur Gilles
Service d'hépato-gastroentérologie, Hôpital Ambroise Paré, 92104 Boulogne Cedex.
Presse Med. 2003 Feb 8;32(5):233-4.
IN MALLORY-WEISS SYNDROME: With fissuring of the cardial area, probably subsequent to a rapid increase in intra-gastric pressure, hemorrhagic Mallory-Weiss syndrome may justify haemostatic endoscopic treatment. However, one should not forget that the majority of these syndromes usually regress spontaneously. IN DIEULAFOY'S ULCERS: Loss of substance destroying the muscle mucosa, Dieulafoy's ulcer would be at the origin of around 2% of upper gastrointestinal haemorrhages. Initial haemostasis can be obtained using endoscopic treatment in 85% of cases. The mechanical methods (clips, elastic ligature) are probably more effective than injections, but they are still under assessment.
在马洛里-魏斯综合征中:贲门区出现裂伤,可能继发于胃内压迅速升高,出血性马洛里-魏斯综合征可能需要进行内镜止血治疗。然而,不应忘记的是,这些综合征中的大多数通常会自发消退。在迪厄拉富瓦溃疡中:破坏肌层黏膜的组织缺失,迪厄拉富瓦溃疡约占上消化道出血的2%。在85%的病例中,内镜治疗可实现初始止血。机械方法(夹子、弹性结扎)可能比注射更有效,但仍在评估中。