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    Mallory–weiss Syndrome

    Mallory–weiss Syndrome is a topic covered in the 5-Minute Emergency Consult.

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    Emergency Central

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    Basics

    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 ∼5% of all cases of upper GI bleeding

    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
    • Greater bleeding associated with:
      • Portal hypertension
      • Esophageal varices
      • Coagulopathy

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    Citation

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    TY - ELEC T1 - Mallory–weiss Syndrome ID - 307639 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, 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 -