II. Pathophysiology

  1. Severe Retching results in tear in esophageal mucosa
  2. Lesion occurs near esophagogastric junction

III. Epidemiology

  1. Incidence: 7.3 per 100,000

IV. Symptoms

  1. Hematemesis follows episode of Retching or Vomiting

V. Signs

VII. Diagnosis

  1. Endoscopy (EGD)
    1. Mucosal tear directly visualized

VIII. Course

  1. Most spontaneously heal
  2. However, bleeding related mortality approaches that of Peptic Ulcer Bleeding (esp. age >65 and comorbidity)

IX. Management

  1. Generally heals spontaneously within several days
  2. Endoscopy for cauterization if needed
  3. Surgery rarely required

X. References

  1. Ljubicic (2014) Scand J Gastroenterol 49(4): 458-64 +PMID:24495010

Images: Related links to external sites (from Bing)

Related Studies