Gastroenterology Book

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Esophageal Laceration

Aka: Esophageal Laceration, Mallory Weiss Syndrome, Mallory Weiss Tear
  1. Pathophysiology
    1. Severe Retching results in tear in esophageal mucosa
    2. Lesion occurs near esophagogastric junction
  2. Symptoms
    1. Hematemesis follows episode of Retching or Vomiting
  3. Signs
    1. Melena
    2. Shock
  4. Differential Diagnosis
    1. Peptic Ulcer Disease
    2. Esophageal Perforation
    3. Esophagitis
    4. Esophageal Varices
  5. Diagnosis
    1. Endoscopy (EGD)
      1. Mucosal tear directly visualized
  6. Management
    1. Generally heals spontaneously within several days
    2. Endoscopy for cauterization if needed
    3. Surgery rarely required

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