Mallory - weiss tear

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

    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

     

     

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