Mallory Weiss Syndrome
Most patients have a benign course and no emergency treatment other than hemodynamic support is needed - V Özben
HWN Suggests
Our Experıence In Mallory-Weıss Syndrome: Report Of Three Cases
MWS, first described by Mallory and Weiss in 1929, is a common cause of non-variceal upper GI hemorrhage which results from mucosal tears around the esophagogastric junction. Precipitating factors include vomiting, straining at stool or lifting, coughing, epileptic convulsions, hiccups under anesthesia, closed-chest massage, blunt abdominal injury, colonoscopic preparation with polyethylene glycol electrolyte lavage solution, and gastroscopy. The incidence of MWS in patients receiving colonoscopic preparation with polyethylene glycol electrolyte lavage solution has been reported at 0.06 percent.
Articles of Interest
Mallory-Weiss Tear
MWT likely occurs as a result of a large, rapidly occurring, and transient transmural pressure gradient across the region of the GO junction. Retching or vomiting causes a rapid rise in intragastric pressure causing a dramatic increase in the transmural pressure across the GO junction which abuts a low intrathoracic pressure zone.
Resources
WikEM
Most Mallory-Weiss tears are minor and resolve on their own, but up to 3% of upper gastrointestinal bleeding deaths are a result of Mallory-Weiss tears.
NORD
Mallory-Weiss syndrome is most commonly characterized by abdominal pain, a history of severe vomiting, vomiting of blood (hematemesis), and the strong involuntary effort to vomit (retching).
StatPearls
Mallory-Weiss syndrome (MWS) is one of the common causes of acute upper gastrointestinal (GI) bleeding, characterized by the presence of longitudinal superficial mucosal lacerations (Mallory-Weiss tears).
