Mallory-Weiss syndrome medical therapy: Difference between revisions
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==Medical Therapy== | ==Medical Therapy== | ||
Treatment of Mallory-Weiss syndrome is usually supportive because persistent bleeding is uncommon. Injection of [[epinephrine]]<ref name="pmid15913474">{{cite journal |author=Gawrieh S, Shaker R |title=Treatment of actively bleeding Mallory-Weiss syndrome: epinephrine injection or band ligation? |journal=Current gastroenterology reports |volume=7 |issue=3 |pages=175 |year=2005 |pmid=15913474 }}</ref> or [[cauterization]] may be done to stop bleeding during endoscopy. | * Treatment of Mallory-Weiss syndrome is usually supportive because persistent bleeding is uncommon. Injection of [[epinephrine]]<ref name="pmid15913474">{{cite journal |author=Gawrieh S, Shaker R |title=Treatment of actively bleeding Mallory-Weiss syndrome: epinephrine injection or band ligation? |journal=Current gastroenterology reports |volume=7 |issue=3 |pages=175 |year=2005 |pmid=15913474 }}</ref> 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. | * 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 ([[Proton pump inhibitor|PPI]]) can be given | |||
* Antiemetics (eg, metoclopramide) are reserved for patients with persistent vomiting. | |||
==References== | ==References== | ||
Revision as of 18:23, 8 November 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
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.