Mallory-Weiss syndrome medical therapy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2]
Overview
Treatment of Mallory-Weiss syndrome is usually supportive because persistent bleeding is uncommon. Injection of epinephrine or cauterization may be done to stop bleeding during endoscopy.
Medical Therapy
- Treatment of Mallory-Weiss syndrome is usually supportive because persistent bleeding is uncommon. Injection of epinephrine[1] or cauterization may be done to stop bleeding during endoscopy.
- In rare cases, embolization of the arteries supplying the region may be needed to stop the bleeding. If all methods fail, high gastrostomy can be done to ligate the bleeding vessel.
- Inhibitors of gastric secretion (PPI) can be given
- Antiemetics (eg, metoclopramide) are reserved for patients with persistent vomiting.