Mallory-Weiss syndrome other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Definitive diagnosis is by Upper Endoscopy.

Endoscopy

  • Upper Endoscopy is the definitive diagnostic study for Mallory-Weiss Syndrome. Tears are located in the esophagogastric junction. The tear usually extends into the cardia and sometimes into the esophagus.[1]
  • Tears are usually single but multiple tears have been reported in 27% of cases.[1][2]
  • Upper Endoscopy is ideally performed within 24 hours because tears usually heal and may not be apparent after 2-3 days if endoscopy is delayed.

References

  1. 1.0 1.1 Knauer CM (1976). "Mallory-Weiss syndrome. Characterization of 75 Mallory-weiss lacerations in 528 patients with upper gastrointestinal hemorrhage". Gastroenterology. 71 (1): 5–8. PMID 1084311.
  2. Sugawa C, Benishek D, Walt AJ (1983). "Mallory-Weiss syndrome. A study of 224 patients". Am. J. Surg. 145 (1): 30–3. PMID 6600377.


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