MALLORY - WEISS TEAR

http://bestpractice.bmj.com/topics/en-us/1145

Lesion: Bleeding from a laceration in the mucosa at the junction of the stomach and esophagus

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Lesion: Laceration in the mucosa at the junction of the stomach and esophagus without bleeding

Initial Management

•Bleeding:

–Resuscitation follow up GI bleeding

–Endoscopy therapies: Banding and clipping techniques or injection with adrenaline (epinephrine) and thermocoagulation.

–If the bleeding cannot be stopped, angiography with vasopressin injection or embolisation

–Surgery: Rarely, close the tear

•Δ ≠: esophageal rupture or other causes of UGIB

•Stable patients: light diet after endoscopy 4-6 hours