Mallory-Weiss syndrome in four hemodialysis patients: a case study
Abstract Background Hemodialysis patients are prone to gastrointestinal bleeding, and Mallory-Weiss syndrome (MWS) is one of the causes. Mallory-Weiss syndrome is often induced by severe vomiting, manifests as upper gastrointestinal bleeding, and is self-limited with a good prognosis. However, mild...
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| Formato: | Artigo |
| Idioma: | English |
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BMC
2023-06-01
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| Colecção: | BMC Nephrology |
| Assuntos: | |
| Acesso em linha: | https://doi.org/10.1186/s12882-023-03250-x |
| _version_ | 1827910972890677248 |
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| author | Shuai-Shuai Shi Xian-Zhu Yang Xiao-ye Zhang Lei Huang Hui-Dan Guo Shuang-fang Li Wei Zhang Yi-Qiang Zhang |
| author_facet | Shuai-Shuai Shi Xian-Zhu Yang Xiao-ye Zhang Lei Huang Hui-Dan Guo Shuang-fang Li Wei Zhang Yi-Qiang Zhang |
| author_sort | Shuai-Shuai Shi |
| collection | DOAJ |
| description | Abstract Background Hemodialysis patients are prone to gastrointestinal bleeding, and Mallory-Weiss syndrome (MWS) is one of the causes. Mallory-Weiss syndrome is often induced by severe vomiting, manifests as upper gastrointestinal bleeding, and is self-limited with a good prognosis. However, mild vomiting in hemodialysis patients can lead to the occurrence of MWS, and the mild early symptoms are easy to misdiagnose, leading to the aggravation of the disease. Case presentation In this paper, we report four hemodialysis patients with MWS. All patients displayed symptoms of upper gastrointestinal bleeding. The diagnosis of MWS was confirmed by gastroscopy. One patient had a history of severe vomiting; however, the other three reported histories of mild vomiting. Three patients received the conservative hemostasis treatment, and the gastrointestinal bleeding stopped. One patient underwent the gastroscopic and interventional hemostasis treatments. The conditions of three of the patients improved. Unfortunately, one of the patients died due to the cardia insufficiency. Conclusions We think that the mild symptoms of MWS are easily covered up by other symptoms. This may lead to delays in diagnosis and treatment. For patients with severe symptoms, gastroscopic hemostasis is still the first choice, and interventional hemostasis can also be considered. For patients with mild symptoms, drug hemostasis is the first consideration. |
| first_indexed | 2024-03-13T01:56:48Z |
| format | Article |
| id | doaj.art-dade9a8701d044b49593bce1e8cb15f1 |
| institution | Directory Open Access Journal |
| issn | 1471-2369 |
| language | English |
| last_indexed | 2024-03-13T01:56:48Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nephrology |
| spelling | doaj.art-dade9a8701d044b49593bce1e8cb15f12023-07-02T11:10:07ZengBMCBMC Nephrology1471-23692023-06-012411610.1186/s12882-023-03250-xMallory-Weiss syndrome in four hemodialysis patients: a case studyShuai-Shuai Shi0Xian-Zhu Yang1Xiao-ye Zhang2Lei Huang3Hui-Dan Guo4Shuang-fang Li5Wei Zhang6Yi-Qiang Zhang7Department of Nephrology, Heji Hospital of Changzhi Medical CollegeGraduate School of Changzhi Medical College ChangzhiGraduate School of Changzhi Medical College ChangzhiDepartment of Endoscopy, Heji Hospital of Changzhi Medical CollegeDepartment of Nephrology, Heji Hospital of Changzhi Medical CollegeDepartment of Radiology, Heji Hospital of Changzhi Medical CollegeDepartment of Nephrology, Heji Hospital of Changzhi Medical CollegeDepartment of Biochemistry, Changzhi Medical CollegeAbstract Background Hemodialysis patients are prone to gastrointestinal bleeding, and Mallory-Weiss syndrome (MWS) is one of the causes. Mallory-Weiss syndrome is often induced by severe vomiting, manifests as upper gastrointestinal bleeding, and is self-limited with a good prognosis. However, mild vomiting in hemodialysis patients can lead to the occurrence of MWS, and the mild early symptoms are easy to misdiagnose, leading to the aggravation of the disease. Case presentation In this paper, we report four hemodialysis patients with MWS. All patients displayed symptoms of upper gastrointestinal bleeding. The diagnosis of MWS was confirmed by gastroscopy. One patient had a history of severe vomiting; however, the other three reported histories of mild vomiting. Three patients received the conservative hemostasis treatment, and the gastrointestinal bleeding stopped. One patient underwent the gastroscopic and interventional hemostasis treatments. The conditions of three of the patients improved. Unfortunately, one of the patients died due to the cardia insufficiency. Conclusions We think that the mild symptoms of MWS are easily covered up by other symptoms. This may lead to delays in diagnosis and treatment. For patients with severe symptoms, gastroscopic hemostasis is still the first choice, and interventional hemostasis can also be considered. For patients with mild symptoms, drug hemostasis is the first consideration.https://doi.org/10.1186/s12882-023-03250-xMallory-Weiss syndromeHemodialysisTreatment |
| spellingShingle | Shuai-Shuai Shi Xian-Zhu Yang Xiao-ye Zhang Lei Huang Hui-Dan Guo Shuang-fang Li Wei Zhang Yi-Qiang Zhang Mallory-Weiss syndrome in four hemodialysis patients: a case study BMC Nephrology Mallory-Weiss syndrome Hemodialysis Treatment |
| title | Mallory-Weiss syndrome in four hemodialysis patients: a case study |
| title_full | Mallory-Weiss syndrome in four hemodialysis patients: a case study |
| title_fullStr | Mallory-Weiss syndrome in four hemodialysis patients: a case study |
| title_full_unstemmed | Mallory-Weiss syndrome in four hemodialysis patients: a case study |
| title_short | Mallory-Weiss syndrome in four hemodialysis patients: a case study |
| title_sort | mallory weiss syndrome in four hemodialysis patients a case study |
| topic | Mallory-Weiss syndrome Hemodialysis Treatment |
| url | https://doi.org/10.1186/s12882-023-03250-x |
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