Karitskiĭ A P, Skriabin O N, Sobko I V, Asanov O N, Klimenko V F
Vestn Khir Im I I Grek. 1994 May-Jun;152(5-6):38-42.
The Mallory-Weiss syndrome is often associated with acute ulceration of the gastric and duodenal mucosa, which gives grounds for a supposition of the existence of common mechanisms of pathogenesis of these diseases. Because of bad results of the operative treatment of patients with such combinations, the method of choice should be conservative therapy and curative endoscopy. A pathogenetically substantiated operative intervention--suturing the source of bleeding in combination with vagotomy and pyloroplasty is preferable when operation is inevitable.
马洛里-魏斯综合征常与胃和十二指肠黏膜的急性溃疡相关，这为推测这些疾病存在共同发病机制提供了依据。鉴于此类合并症患者手术治疗效果不佳，首选方法应为保守治疗及根治性内镜检查。当不可避免要进行手术时，一种基于发病机制的合理手术干预——缝合出血源并联合迷走神经切断术和幽门成形术更为可取。
