Mallory-Weiss tear - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:43:28Z

Prepared the page for translation

← Older revision		Revision as of 23:43, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]		[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
	[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]		[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
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	*Due to sudden increase in intrabdominal pressure		*Due to sudden increase in intrabdominal pressure
	**Typically in the setting of forceful vomiting or retching		**Typically in the setting of forceful vomiting or retching


	==Clinical Features==		==Clinical Features==


	===Risk Factors===		===Risk Factors===

	*Hiatal hernia		*Hiatal hernia
	*[[Alcoholism]]		*[[Special:MyLanguage/Alcoholism\|Alcoholism]]
	*Anything that increases intrabdominal pressure: blunt [[abdominal trauma]], CPR, etc.		*Anything that increases intrabdominal pressure: blunt [[Special:MyLanguage/abdominal trauma\|abdominal trauma]], CPR, etc.


	===History===		===History===
	*Classic presentation: [[Hematemesis]] following vomiting or retching
			*Classic presentation: [[Special:MyLanguage/Hematemesis\|Hematemesis]] following vomiting or retching
	**As few as 30% of patients present this way		**As few as 30% of patients present this way
	*Coffee ground emesis		*Coffee ground emesis
	*[[Melena]]		*[[Special:MyLanguage/Melena\|Melena]]
	*Hematochezia		*Hematochezia


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{UGIB DDX}}		{{UGIB DDX}}
			<translate>


	==Evaluation==		==Evaluation==

	[[File:Mallory Weiss Tear.png\|thumb\|Mallory–Weiss tear affecting the esophageal side of the gastroesophageal junction.]]		[[File:Mallory Weiss Tear.png\|thumb\|Mallory–Weiss tear affecting the esophageal side of the gastroesophageal junction.]]
	*Approach as any GI bleed		*Approach as any GI bleed
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	**Type and screen		**Type and screen
	**Guiac		**Guiac
	**[[CXR]]		**[[Special:MyLanguage/CXR\|CXR]]
	*Definitive diagnosis by endoscopy		*Definitive diagnosis by endoscopy


	==Management==		==Management==

	*Most Mallory-Weiss tears are minor and resolve on their own, but up to 3% of upper gastrointestinal bleeding deaths are a result of Mallory-Weiss tears		*Most Mallory-Weiss tears are minor and resolve on their own, but up to 3% of upper gastrointestinal bleeding deaths are a result of Mallory-Weiss tears
	*Endoscopy only for active and on-going bleeding<ref>Gyawali CP. The Washington Manual Gastroenterology Subspecialty Consult 2ed. 2008. Washington University School of Medicine.</ref>		*Endoscopy only for active and on-going bleeding<ref>Gyawali CP. The Washington Manual Gastroenterology Subspecialty Consult 2ed. 2008. Washington University School of Medicine.</ref>
	*Treat as [[undifferentiated upper GI bleed]]		*Treat as [[Special:MyLanguage/undifferentiated upper GI bleed\|undifferentiated upper GI bleed]]
	**Many of these patients are alcoholics and have cirrhosis; consider esophageal varices		**Many of these patients are alcoholics and have cirrhosis; consider esophageal varices
	**History of vomiting/retching; consider [[boerhaave]]		**History of vomiting/retching; consider [[Special:MyLanguage/boerhaave\|boerhaave]]


	===Treatments Not Supported by the Literature===		===Treatments Not Supported by the Literature===

	*No evidence to support octreotide use		*No evidence to support octreotide use


	==Disposition==		==Disposition==

	*Anticipate admission		*Anticipate admission


	==See Also==		==See Also==
	*[[Gastrointestinal bleeding]]
	*[[Upper gastrointestinal bleeding]]		*[[Special:MyLanguage/Gastrointestinal bleeding\|Gastrointestinal bleeding]]
			*[[Special:MyLanguage/Upper gastrointestinal bleeding\|Upper gastrointestinal bleeding]]


	==External Links==		==External Links==


	==References==		==References==

	<references/>		<references/>

	[[Category:GI]]		[[Category:GI]]
			</translate>

Rossdonaldson1: /* Background */

2024-02-07T22:32:29Z

Background

← Older revision		Revision as of 22:32, 7 February 2024
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	==Background==		==Background==
			[[File:Gray1032.png\|thumb\|Posterior view of the position and relation of the esophagus in the cervical region and in the posterior mediastinum.]]
			[[File:Layers of the GI Tract english.svg\|thumb\|Layers of the GI track: the mucosa, submucosa, muscularis, and serosa.]]
			[[File:Illu esophagus.jpg\|thumb\|Esophagus anatomy and nomenclature based on two systems.]]
	*Longitudinal lacerations through mucosa and submucosa		*Longitudinal lacerations through mucosa and submucosa
	*75% in proximal stomach, rest in distal esophagus		*75% in proximal stomach, rest in distal esophagus

Rossdonaldson1: /* Evaluation */

2024-01-31T22:07:27Z

Evaluation

← Older revision		Revision as of 22:07, 31 January 2024
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	==Evaluation==		==Evaluation==
	[[File:Mallory Weiss Tear.~~tif~~\|thumb\|]]		[[File:Mallory Weiss Tear.png\|thumb\|Mallory–Weiss tear affecting the esophageal side of the gastroesophageal junction.]]
	*Approach as any GI bleed		*Approach as any GI bleed
	**CBC		**CBC

Rossdonaldson1: /* Evaluation */

2024-01-31T22:05:07Z

Evaluation

← Older revision		Revision as of 22:05, 31 January 2024
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	==Evaluation==		==Evaluation==
			[[File:Mallory Weiss Tear.tif\|thumb\|]]
	*Approach as any GI bleed		*Approach as any GI bleed
	**CBC		**CBC

Elcatracho: /* See Also */

2022-01-04T09:57:02Z

Rossdonaldson1: /* Management */

2018-09-23T22:28:36Z

Management

← Older revision		Revision as of 22:28, 23 September 2018
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	*Most Mallory-Weiss tears are minor and resolve on their own, but up to 3% of upper gastrointestinal bleeding deaths are a result of Mallory-Weiss tears		*Most Mallory-Weiss tears are minor and resolve on their own, but up to 3% of upper gastrointestinal bleeding deaths are a result of Mallory-Weiss tears
	*Endoscopy only for active and on-going bleeding<ref>Gyawali CP. The Washington Manual Gastroenterology Subspecialty Consult 2ed. 2008. Washington University School of Medicine.</ref>		*Endoscopy only for active and on-going bleeding<ref>Gyawali CP. The Washington Manual Gastroenterology Subspecialty Consult 2ed. 2008. Washington University School of Medicine.</ref>
	*Treat as undifferentiated ~~Upper~~ GI bleed		*Treat as [[undifferentiated upper GI bleed]]
	**Many of these patients are alcoholics and have cirrhosis; consider esophageal varices		**Many of these patients are alcoholics and have cirrhosis; consider esophageal varices
	**History of vomiting/retching; consider [[boerhaave]]		**History of vomiting/retching; consider [[boerhaave]]
	~~{{Upper GI bleed treatment}}~~
	===Treatments Not Supported by the Literature===		===Treatments Not Supported by the Literature===
	*No evidence to support octreotide use		*No evidence to support octreotide use

Rossdonaldson1: /* Differential Diagnosis */

2018-09-23T22:27:46Z

Differential Diagnosis

@@ Line 19: / Line 19: @@
 ==Differential Diagnosis==
-===Upper GI Bleed Differential===
+{{UGIB DDX}}
 ==Evaluation==

ClaireLewis: /* History */

2016-10-05T04:12:26Z

History

← Older revision		Revision as of 04:12, 5 October 2016
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	===History===		===History===
	*Classic presentation: [[Hematemesis ~~following~~]] vomiting or retching		*Classic presentation: [[Hematemesis]] following vomiting or retching
	**As few as 30% of patients present this way		**As few as 30% of patients present this way
	*Coffee ground emesis		*Coffee ground emesis
	*Melena		*[[Melena]]
	*Hematochezia		*Hematochezia

Rossdonaldson1: Text replacement - "CXR" to "CXR"

2016-09-09T13:31:59Z

Text replacement - "*CXR" to "*CXR"

← Older revision		Revision as of 13:31, 9 September 2016
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	**Type and screen		**Type and screen
	**Guiac		**Guiac
	**CXR		**[[CXR]]
	*Definitive diagnosis by endoscopy		*Definitive diagnosis by endoscopy

Rossdonaldson1: Text replacement - "UGIB" to "upper gastrointestinal bleeding"

2016-08-06T14:20:04Z

Text replacement - "UGIB" to "upper gastrointestinal bleeding"

← Older revision		Revision as of 14:20, 6 August 2016
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	==Management==		==Management==
	*Most Mallory-Weiss tears are minor and resolve on their own, but up to 3% of ~~UGIB~~ deaths are a result of Mallory-Weiss tears		*Most Mallory-Weiss tears are minor and resolve on their own, but up to 3% of upper gastrointestinal bleeding deaths are a result of Mallory-Weiss tears
	*Endoscopy only for active and on-going bleeding<ref>Gyawali CP. The Washington Manual Gastroenterology Subspecialty Consult 2ed. 2008. Washington University School of Medicine.</ref>		*Endoscopy only for active and on-going bleeding<ref>Gyawali CP. The Washington Manual Gastroenterology Subspecialty Consult 2ed. 2008. Washington University School of Medicine.</ref>
	*Treat as undifferentiated Upper GI bleed		*Treat as undifferentiated Upper GI bleed

← Older revision		Revision as of 09:57, 4 January 2022
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	==See Also==		==See Also==
			*[[Gastrointestinal bleeding]]
	*[[Upper gastrointestinal bleeding]]		*[[Upper gastrointestinal bleeding]]

Mallory-Weiss tear - Revision history

Ostermayer: Prepared the page for translation

Rossdonaldson1: /* Background */

Rossdonaldson1: /* Evaluation */

Rossdonaldson1: /* Evaluation */

Elcatracho: /* See Also */

Rossdonaldson1: /* Management */

Rossdonaldson1: /* Differential Diagnosis */

ClaireLewis: /* History */

Rossdonaldson1: Text replacement - "*CXR" to "*CXR"

Rossdonaldson1: Text replacement - "UGIB" to "upper gastrointestinal bleeding"

Rossdonaldson1: Text replacement - "CXR" to "CXR"