Mallory-Weiss tear

Mallory-Weiss tear

Updated: 01/19/2024

© Jun Wang, MD, PhD

General features
  • Longitudinal laceration of GE junction or proximal gastric mucosa
  • Associated with alcoholism, hyperemesis gravidarum, occasionally in weight lifters
Etiology
  • Failure of reflex relaxation of gastric outlet preceding an antiperistaltic wave
Clinical presentations
  • Upper GI bleeds, may cause sudden death
Diagnosis
  • Upper endoscopy
Treatment
  • Support, vasoconstrictors, transfusions, occasionally balloon tamponade, surgical repair if possible



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