Mallory Weiss Syndrome (Esophageal Tear)

Description

Refers to a superficial tear in the lower part of the esophagus that occurs during forceful vomiting, prolonged vomiting, or persistent coughing. These tears may can cause severe bleeding. Any disorder that causes vomiting or coughing can cause this disorder.

Symptoms

Vomiting blood, vomiting coffee ground material, bloody stools, black stools (melena), chest pain.

Tests

A history and physical exam will be performed. Additional tests include: an EGD (esophagogastroduodenoscopy), tests to measure the blood count and ability to clot blood, X-ray and/or CT scan to rule out esophageal rupture.

Treatment

The tear and bleeding usually resolve without special treatment. Surgery is rarely required. Proton pump inhibitors (omperazole/Prilosec, pantoprazole/Protonix) or H2 blockers (cimetidine/Tagamet, ranitidine/Zantac) may be given. Blood transfusions may be necessary if the bleeding is severe. Excessive bleeding or persistent bleeding may require endoscopy or surgery to stop the bleeding.

Related Images

Related Videos

Esophageal Mallory Weiss Tear with Visible Vessel (Endoscopic Cautery)

A Video endoscopy done by Dr. Fadi Diab, Consultant...

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