Thirty-three patients with Mallory-Weiss syndrome have been treated at the Clinic of Emergency Surgery in Sofia for a period of 11 years (1980-1990). According to treatment and outcome they were classified as follows: conservative treatment--7 patients, electrocoagulation--16, sclerosing procedure--10, successful endoscopic hemostasis--17, emergency surgical intervention--9, relapse of bleeding after endoscopic surgery--9, death from hemorrhage--4, total case fatality--12.1 per cent, operative case fatality rate--33.3 per cent.

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