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- W1963855110 abstract "tient. ~8 In the past, as many as 30% of patients with hematemesis or melena have had no documented etiology?, lo The availability of improved instrumentation and experience with pediatric endoscopy should further clarify the etiology of upper gastrointestinal hemorrhage. Mallory-Weiss mucosal lacerations are commonly found in adults. All patients with this syndrome do not present with the classical history, severity or clinical course of the original report in 19297, 10 Although the alcohol debauch was considered the precipitating event of gastroesophageal laceration, other associated factors, including closed chest massage, coughing, hiccuping under anesthesia, and straining with lifting or at stool, have been enumerated. 3, 1o The age of occurrence is unusual in our patients, but the atypical presentation and benign clinical coUrse have been previously reported. 3, ~~ The experience with these patients confirms our conviction that the Mallory-Weiss syndrome d o e s occur in children. With the increasing utilization of endoscopy in pediatric patients, we anticipate that other reports will follow. REFERENCES 1. Mallory GK, and Weiss S: Hemorrhages from lacerations of the cardiac orifice due to vomiting, Am J Med Sci 178:506, 1929. 2. Holmes KD: Mallory-Weiss syndrome: Review of 20 cases and literature review, Ann Surg 164:810, 1966. 3. Weaver DH, Maxwell JG, and Castleton KB: MalloryWeiss syndrome, Am J Surg 118:887, 1969. 4. Clemenz FW, and Dawson RG: Esophageal dyskinesia and the Mallory-Weiss syndrome, Arch Surg 93:614, 1966. 5. Koehler PR: New approaches to the radiological diagnosis of Mallory-Weiss Syndrome, Br J Radiol 42:354, 1969. 6. Gteason WA, Tedesco FJ, Keating JP, and Goldstein PD: Fiberoptic gastrointestinal endoscopy in infants and children, J PEDIATR 85:810, 1974. 7. Tedesco FJ, Goldstein PD, Gleason WA, and Keating JP: Upper gastrointestinal endoscopy in the pediatric patient, Gastroenterology 70:492, 1976. 8. Ament ME, Gans SL, and Christie DL: Experience with esophagogastroduodenoscopy in diagnosis of 79 pediatric patients with hematemesis, melena or chronic abdominal pain, Gastroenterology 68:858, 1975. 9. Brayton D: Gastrointestinal bleeding of unknown origin, Am J Dis Child 107:288, 1964. 10. Watts D, and Admirand WH: Mallory-Weiss syndrome a reappraisal, JAMA 230:1674, 1974." @default.
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- W1963855110 title "Chronic thrombocytopenia in childhood" @default.
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