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Gastroenterologie > Mallory Weiss Syndrom > Flashcards

Mallory Weiss Syndrom Flashcards

1
Q

Definition

A

Longitudinale Schleimhauteinrisse (auf Mukosa und Submukosa begrenzt) am gastroosophagealen Ubergang

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2
Q

Epidemiologie

A

Bedingen ca. 5% aller gastrointestinalen Blutungen

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3
Q

Atiologie

A

Plotzliche heftige intraluminale Druckerhohung (z.B Erbrechen, Wurgen sumpfes Bauchtrauma) fuhrt zu Schleimhauteinrissen im distalen Osophagis/ proximalen Magen

Haufig auf Grundlage einer geschadigten Schleimhaut: Bspw. bei Alkoholmissbrauch, GERD, Atrophie (im Alter)

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4
Q

Symtpome

A

Hamatemesis - zuvor haufig Erbrechen ohne Blutbeimengungen
Schmerzen im Epigastrium

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5
Q

Diagnostik

A

OGD; ermoglicht gleichzeitig eine Intervention

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6
Q

DD

A

Booerhave Syndrom

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7
Q

Therapie

A

Siehe Hamorrhagischer Schock AMboss SOP
Spontanes Sistieren in der Mehrzahl der Blutungen
Endoskopische Versorgung bei akut blutender Lasion

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8
Q

!

A

Keine BAllontamponade wegen Perforationsgefahr der Osophagus

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9
Q

Komplikationen

A

Starke Blutung insb. bei Lasion arterieller Gefase

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Gastroenterologie (26 decks)

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