II. Pathophysiology
- Severe Retching results in tear in esophageal mucosa
- Lesion occurs near esophagogastric junction
III. Epidemiology
- Incidence: 7.3 per 100,000
IV. Symptoms
- Hematemesis follows episode of Retching or Vomiting
VI. Differential Diagnosis
VII. Diagnosis
- Endoscopy (EGD)
- Mucosal tear directly visualized
VIII. Course
- Most spontaneously heal
- However, bleeding related mortality approaches that of Peptic Ulcer Bleeding (esp. age >65 and comorbidity)
IX. Management
- Generally heals spontaneously within several days
- Endoscopy for cauterization if needed
- Surgery rarely required
X. References
- Ljubicic (2014) Scand J Gastroenterol 49(4): 458-64 +PMID:24495010