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Home > West Medicine > Internal Medicine > Gastroenterology
K22.601

Mallory-Weiss Syndrome

消化内科

Common symptoms

恶心与呕吐、休克、黑便、食管出血、反复呕血

The pathology of disease

Mallory-Weiss syndrome is longitudinal mucosal tear at the gastroesophageal junction, usually after forceful vomiting/retching (alcoholism/hyperemesis), presenting with hematemesis after retching. Treatment: PPI; most stop spontaneously; endoscopic hemostasis (clipping/injection) if active bleeding; treat alcohol withdrawal/hyperemesis; avoid NSAIDs; fluid/blood resuscitation if needed; endoscopy to confirm; treat underlying cause; follow-up.

Common Symptoms

Hematemesis after retching/vomiting; alcohol/hyperemesis history

Causes and Pathogenesis

Forceful vomiting causes mucosal tear at GE junction and possible bleeding.

Treatment

PPI; endoscopic hemostasis if bleeding; treat alcohol/hyperemesis; resuscitation

Preventive Measures

Limit alcohol; treat vomiting disorders; avoid NSAIDs on empty stomach.

Department to Visit

It is recommended to visit the Gastroenterology/Emergency/Addiction department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.