eMedicine Specialties > Gastroenterology > Esophagus

Mallory-Weiss Tear: Multimedia

Author: Louis-Michel Wong Kee Song, MD, Assistant Professor, Department of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic
Contributor Information and Disclosures

Updated: Apr 16, 2008

Multimedia

Mallory-Weiss tear. Typical longitudinal mucosal ...Media file 1: Mallory-Weiss tear. Typical longitudinal mucosal tear with overlying fibrinous exudate extending from the distal esophagus to the gastric cardia. Courtesy of C.J. Gostout, MD.
Mallory-Weiss tear. Typical longitudinal mucosal ...

Mallory-Weiss tear. Typical longitudinal mucosal tear with overlying fibrinous exudate extending from the distal esophagus to the gastric cardia. Courtesy of C.J. Gostout, MD.

Mallory-Weiss tear. Retroflexed view of the cardi...Media file 2: Mallory-Weiss tear. Retroflexed view of the cardia showing the typical location of the tear with a clean base.
Mallory-Weiss tear. Retroflexed view of the cardi...

Mallory-Weiss tear. Retroflexed view of the cardia showing the typical location of the tear with a clean base.

Mallory-Weiss tear with a pigmented protuberance ...Media file 3: Mallory-Weiss tear with a pigmented protuberance and active oozing.
Mallory-Weiss tear with a pigmented protuberance ...

Mallory-Weiss tear with a pigmented protuberance and active oozing.

More on Mallory-Weiss Tear

Overview: Mallory-Weiss Tear
Differential Diagnoses & Workup: Mallory-Weiss Tear
Treatment & Medication: Mallory-Weiss Tear
Follow-up: Mallory-Weiss Tear
Multimedia: Mallory-Weiss Tear
References

References

  1. Graham DY, Schwartz JT. The spectrum of the Mallory-Weiss tear. Medicine (Baltimore). Jul 1978;57(4):307-18. [Medline].

  2. Harris JM, DiPalma JA. Clinical significance of Mallory-Weiss tears. Am J Gastroenterol. Dec 1993;88(12):2056-8. [Medline].

  3. Laine L. Multipolar electrocoagulation in the treatment of active upper gastrointestinal tract hemorrhage. A prospective controlled trial. N Engl J Med. Jun 25 1987;316(26):1613-7. [Medline].

  4. Baker RW, Spiro AH, Trnka YM. Mallory-Weiss tear complicating upper endoscopy: case reports and review of the literature. Gastroenterology. Jan 1982;82(1):140-2. [Medline].

  5. Bataller R, Llach J, Salmeron JM, Elizalde JI, Mas A, Pique JM, et al. Endoscopic sclerotherapy in upper gastrointestinal bleeding due to the Mallory-Weiss syndrome. Am J Gastroenterol. Dec 1994;89(12):2147-50. [Medline].

  6. Bharucha AE, Gostout CJ, Balm RK. Clinical and endoscopic risk factors in the Mallory-Weiss syndrome. Am J Gastroenterol. May 1997;92(5):805-8. [Medline].

  7. Chung IK, Kim EJ, Hwang KY, Kim IH, Kim HS, Park SH, et al. Evaluation of endoscopic hemostasis in upper gastrointestinal bleeding related to Mallory-Weiss syndrome. Endoscopy. Jun 2002;34(6):474-9. [Medline].

  8. Huang SP, Wang HP, Lee YC, Lin CC, Yang CS, Wu MS, et al. Endoscopic hemoclip placement and epinephrine injection for Mallory-Weiss syndrome with active bleeding. Gastrointest Endosc. Jun 2002;55(7):842-6. [Medline].

  9. Jensen DM, Kovacs TOG, Freeman M. A multicenter randomized prospective study of gold probe versus heater probe for hemostasis of very severe ulcer or Mallory-Weiss bleeding. Gastrointest Endosc. 1992;38:235.

  10. Kim JW, Kim HS, Byun JW. Predictive factors of recurrent bleeding in Mallory-Weiss syndrome. Korean J Gastroenterol. Dec 2005;46(6):447-54.

  11. Knauer CM. Mallory-Weiss syndrome. Characterization of 75 Mallory-weiss lacerations in 528 patients with upper gastrointestinal hemorrhage. Gastroenterology. Jul 1976;71(1):5-8. [Medline].

  12. Kortas DY, Haas LS, Simpson WG, Nickl NJ 3rd, Gates LK Jr. Mallory-Weiss tear: predisposing factors and predictors of a complicated course. Am J Gastroenterol. Oct 2001;96(10):2863-5. [Medline].

  13. Llach J, Elizalde JI, Guevara MC, Pellise M, Castellot A, Gines A, et al. Endoscopic injection therapy in bleeding Mallory-Weiss syndrome: a randomized controlled trial. Gastrointest Endosc. Dec 2001;54(6):679-81. [Medline].

  14. Mallory GK, Weiss SW. Hemorrhages from lacerations of the cardiac orifice of the stomach due to vomiting. Am J Med Sci. 1929;178:506-12.

  15. Montalvo RD, Lee M. Retrospective analysis of iatrogenic Mallory-Weiss tears occurring during upper gastrointestinal endoscopy. Hepatogastroenterology. Jan-Feb 1996;43(7):174-7. [Medline].

  16. Park CH, Min SW, Sohn YH, Lee WS, Joo YE, Kim HS, et al. A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome. Gastrointest Endosc. Jul 2004;60(1):22-7. [Medline].

  17. Pezzulli FA, Purnell FM, Dillon EH. The Mallory-Weiss syndrome. Case report and update on embolization versus intraarterial vasopressin results. N Y State J Med. Jun 1986;86(6):312-4. [Medline].

  18. Savides TJ, Jensen DM. Therapeutic endoscopy for nonvariceal gastrointestinal bleeding. Gastroenterol Clin North Am. Jun 2000;29(2):465-87, vii. [Medline].

  19. Stevens PD, Lebwohl O. Hypertensive emergency and ventricular tachycardia after endoscopic epinephrine injection of a Mallory-Weiss tear. Gastrointest Endosc. Jan-Feb 1994;40(1):77-8. [Medline].

  20. Sugawa C, Benishek D, Walt AJ. Mallory-Weiss syndrome. A study of 224 patients. Am J Surg. Jan 1983;145(1):30-3. [Medline].

  21. Yamaguchi Y, Yamato T, Katsumi N, Morozumi K, Abe T, Ishida H, et al. Endoscopic hemoclipping for upper GI bleeding due to Mallory-Weiss syndrome. Gastrointest Endosc. Apr 2001;53(4):427-30. [Medline].

  22. Younes Z, Johnson DA. The spectrum of spontaneous and iatrogenic esophageal injury: perforations, Mallory-Weiss tears, and hematomas. J Clin Gastroenterol. Dec 1999;29(4):306-17. [Medline].

Further Reading

Keywords

MWT, gastroesophageal tears, Mallory-Weiss syndrome, Mallory-Weiss lesion, upper gastrointestinal hemorrhage, retching, vomiting, mucosal lacerations, intragastric pressure, gastric prolapse, straining, hiccuping, coughing, primal scream therapy, blunt abdominal trauma, cardiopulmonary resuscitation, iatrogenic tears, portal hypertension, gastroesophageal varices, hiatal hernia

Contributor Information and Disclosures

Author

Louis-Michel Wong Kee Song, MD, Assistant Professor, Department of Medicine, Division of Gastroenterology and Hepatology, Mayo Clinic
Louis-Michel Wong Kee Song, MD is a member of the following medical societies: American College of Gastroenterology, American Gastroenterological Association, American Medical Association, and American Society for Gastrointestinal Endoscopy
Disclosure: Nothing to disclose.

Medical Editor

Terence David Lewis, MBBS, FRACP, FRCPC, FACP, Program Director, Internal Medicine Residency, & Assistant Chairman, Associate Professor, Department of Internal Medicine, Division of Gastroenterology, Loma Linda University Medical Center
Terence David Lewis, MBBS, FRACP, FRCPC, FACP is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, American Medical Association, California Medical Association, Royal College of Physicians and Surgeons of Canada, and Sigma Xi
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Douglas M Heuman, MD, FACP, Director of Hepatology, McGuire Veterans Affairs Medical Center, Professor, Department of Internal Medicine, Division of Gastroenterology, Virginia Commonwealth University School of Medicine
Douglas M Heuman, MD, FACP is a member of the following medical societies: American Association for the Study of Liver Diseases, American College of Physicians, and American Gastroenterological Association
Disclosure: Nothing to disclose.

CME Editor

Alex J Mechaber, MD, FACP, Assistant Dean for Medical Curriculum, Associate Professor of Medicine, Division of General Internal Medicine, University of Miami Miller School of Medicine
Alex J Mechaber, MD, FACP is a member of the following medical societies: Alpha Omega Alpha, American College of Physicians-American Society of Internal Medicine, and Society of General Internal Medicine
Disclosure: Nothing to disclose.

Chief Editor

Julian Katz, MD, Clinical Professor of Medicine, Drexel University College of Medicine; Consulting Staff, Department of Medicine, Section of Gastroenterology and Hepatology, Hospital of the Medical College of Pennsylvania
Julian Katz, MD is a member of the following medical societies: American College of Gastroenterology, American College of Physicians, American Gastroenterological Association, American Geriatrics Society, American Medical Association, American Society for Gastrointestinal Endoscopy, American Society of Law Medicine and Ethics, American Trauma Society, Association of American Medical Colleges, and Physicians for Social Responsibility
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.