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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