Mallory-weiss Syndrome

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Other Names :  

Gastro-esophageal laceration syndrome

What is Mallory-weiss Syndrome ?  

Mallory-Weiss syndrome refers to bleeding from tears in the mucosa at the junction of the stomach and esophagus.

Cause(s) :  
  • Severe alcoholism
  • Retching (reverse movement of food in stomach)
  • Obstruction of gastric outlet
  • Hiatal hernia
  • Inflammation of stomach and intestine
  • Infection of stomach and intestine
  • Volvulus or malrotation of stomach and intestine pathways
  • Pregnancy - due to persistent vomiting and retching in the first trimester of pregnancy
  • Hepatitis
  • Cirrhosis
  • Disease of the biliary tract like gallstones and cholecystitis
  • Increased intracranial pressure may cause vomiting leading to the tear in the mucosal lining
Symptoms :  
  • Blood in vomit
  • Melena (black coloured feces associated with upper gastrointestinal bleeding)
  • Dizziness and syncope, due to severe vomiting and dehydration
  • Abdominal pain and heartburn
Diagnosis and Tests :  
  • Endoscopy of the GI tract
Specialist to consult :  Gastroenterology

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