Mallory Weiss Tears

Question 1

What is the definitive diagnosis of Mallory Weiss Tears?

Answer 1

Endoscopy

Question 2

What is first line treatment?

Answer 2

Supportive treatment unless persistent

Question 3

What is treatment for persistent Mallory Weiss Tears?

Answer 3

1. Endoscopic - cauderisation, steroid injection
2. Embolisation
3. Gastrostomy

Question 4

What are the main causes?

Answer 4

• Forceful vomiting causes tearing of the GEJ
• Hyperemesis gravidarum
• alcoholism
• bulimia

Question 5

What are the signs and symptoms?

Answer 5

• Melena
• Haematemesis
• Bleeding will stop spontaneously after 24-48 minutes