5-Minute Emergency Consult
Mallory–weiss Syndrome
Mallory–weiss Syndrome is a topic covered in the 5-Minute Emergency Consult.
To view the entire topic, please sign in or purchase a subscription.
Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:
-- The first section of this topic is shown below --
Basics
Description
Description
- Partial-thickness intraluminal longitudinal mucosal tear of distal esophagus or proximal stomach
- Sudden increase in intra-abdominal and/or transgastric pressure causes:
- Mild to moderate submucosal arterial and/or venous bleeding:
- May be related to underlying pathology
- “Mushrooming” of stomach into esophagus during retching has been observed endoscopically.
- Responsible for ∼8–15% of all cases of upper GI bleeding
- Mild to moderate submucosal arterial and/or venous bleeding:
Etiology
Etiology
- Associated with:
- Forceful coughing, laughing, or retching
- Lifting
- Straining
- Blunt abdominal trauma
- Seizures
- Childbirth
- Cardiopulmonary resuscitation
- Risk factors:
- Alcoholics:
- Especially after recent binge
- Patients with hiatal hernia
- Hyperemesis gravidarum
- Diabetic ketoacidosis
- Chemotherapy
- Alcoholics:
- Greater bleeding associated with:
- Portal hypertension
- Esophageal varices
- Coagulopathy
-- To view the remaining sections of this topic, please sign in or purchase a subscription --
Basics
Description
Description
- Partial-thickness intraluminal longitudinal mucosal tear of distal esophagus or proximal stomach
- Sudden increase in intra-abdominal and/or transgastric pressure causes:
- Mild to moderate submucosal arterial and/or venous bleeding:
- May be related to underlying pathology
- “Mushrooming” of stomach into esophagus during retching has been observed endoscopically.
- Responsible for ∼8–15% of all cases of upper GI bleeding
- Mild to moderate submucosal arterial and/or venous bleeding:
Etiology
Etiology
- Associated with:
- Forceful coughing, laughing, or retching
- Lifting
- Straining
- Blunt abdominal trauma
- Seizures
- Childbirth
- Cardiopulmonary resuscitation
- Risk factors:
- Alcoholics:
- Especially after recent binge
- Patients with hiatal hernia
- Hyperemesis gravidarum
- Diabetic ketoacidosis
- Chemotherapy
- Alcoholics:
- Greater bleeding associated with:
- Portal hypertension
- Esophageal varices
- Coagulopathy
There's more to see -- the rest of this entry is available only to subscribers.
Citation
Rosen, Peter, et al., editors. "Mallory–weiss Syndrome." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307639/all/Mallory–weiss_Syndrome.
Mallory–weiss Syndrome. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307639/all/Mallory–weiss_Syndrome. Accessed September 25, 2020.
Mallory–weiss Syndrome. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult (5th edition). Lippincott Williams & Wilkins. Retrieved September 25, 2020, from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307639/all/Mallory–weiss_Syndrome
Mallory–weiss Syndrome [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2020 September 25]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307639/all/Mallory–weiss_Syndrome.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Mallory–weiss Syndrome
ID - 307639
ED - Rosen,Peter,
ED - Shayne,Philip,
ED - Barkin,Adam Z,
ED - Wolfe,Richard E,
ED - Hayden,Stephen R,
ED - Barkin,Roger M,
ED - Schaider,Jeffrey J,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307639/all/Mallory–weiss_Syndrome
PB - Lippincott Williams & Wilkins
ET - 5
DB - Emergency Central
DP - Unbound Medicine
ER -
