Mallory–Weiss syndrome

As Mallory-Weiss syndrome occurring mostly after severe vomiting, longitudinal tears of the mucosa and submucosa of the esophagus called, which can be associated as a complication with potentially life-threatening bleeding the outer esophagus and / or stomach input ( gastrointestinal bleeding ). The pain is localized above the navel.

Causes

The reasons are a positive history of alcohol or binge drinking as well as a gastrointestinal reflux of relevance. In the pathogenesis triggered mostly by vomiting massive increase in pressure plays an important role. Bulimia, seizure and cough can be triggers.

Differential diagnoses

Esophageal varices, gastric ulcer, gastritis, esophageal reflux disease. In contrast to Boerhaave's syndrome only the mucosa and submucosa are affected.

Therapy

By means of esophagogastroduodenoscopy is secured in the diagnosis and at the same time deals with the tears of the esophagus using endoscopic surgical hemostasis. In rare cases, a resection of portions of the stomach is necessary.