SURGICAL APPROACH TO THE MALLORY WEISS SYNDROME
Treatment results of 345 Mallory Weiss syndrome patients were analyzed. During the 13-year monitoring period an increase of MWS from 14% to 26.6% was registered in the structure of upper digestive tract hemorrhages. Associated diseases were revealed in 91.5% of cases, most frequent of them are: esophageal hiatus hernia (51.8%), liver and biliary tracts diseases (58%). An MWS classification distinguishing 4 disease states is suggested as well as addition of two hemorrhage rate characteristics to J.A. Forrest classification is justified. An approach is suggested to choose a hemostasis method with consideration of MWS state and hemorrhage characteristics.