Sato H, Takase S, Takada A
Department of Internal Medicine, Kanazawa Medical University, Ishikawa, Japan.
Gastroenterol Jpn. 1989 Jun;24(3):233-8. doi: 10.1007/BF02774319.
The incidence of esophageal hiatus hernia in Mallory-Weiss syndrome was analyzed from endoscopic findings in order to clarify the association with Mallory-Weiss syndrome. Hiatus hernia was diagnosed from findings of both esophagoscopy and gastroscopy. In 23 patients with Mallory-Weiss syndrome confirmed by endoscopy, hiatus hernia was found 21 cases (91.3%), in which 9 (39.1%) were definite hernias and 12 (52.2%) were minor hernias. In 80 control cases of various gastrointestinal diseases, definite hernia was found in 7 cases (8.8%), and minor hernia was found in 13 cases (16.2%). The incidence of hiatus hernia in Mallory-Weiss syndrome was thus significantly higher than that in the control group. The incidence of hiatus hernia evaluated only by esophageal findings was lower than that evaluated by combined findings from the gastric and esophageal directions. These results indicate that evaluation from the gastric direction is an essential procedure for the diagnosis of esophageal hiatus hernia and that hiatus hernia is one of the predisposing factors for the development of Mallory-Weiss syndrome.
为阐明食管裂孔疝与马洛里-魏斯综合征（Mallory-Weiss syndrome）的关联，我们根据内镜检查结果分析了马洛里-魏斯综合征患者食管裂孔疝的发病率。食管裂孔疝通过食管镜检查和胃镜检查结果进行诊断。在内镜检查确诊的23例马洛里-魏斯综合征患者中，发现食管裂孔疝21例（91.3%），其中9例（39.1%）为明确的疝，12例（52.2%）为轻度疝。在80例各种胃肠道疾病的对照病例中，发现明确的疝7例（8.8%），轻度疝13例（16.2%）。因此，马洛里-魏斯综合征患者食管裂孔疝的发病率显著高于对照组。仅通过食管检查评估的食管裂孔疝发病率低于通过胃和食管方向联合检查评估的发病率。这些结果表明，从胃方向进行评估是诊断食管裂孔疝的必要步骤，并且食管裂孔疝是马洛里-魏斯综合征发生的易感因素之一。
