Mallory-Weiss syndrome natural history, complications and prognosis: Difference between revisions
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==Overview== | ==Overview== | ||
Mallory-Weiss tears heal quickly in the absence of portal hypertensive. Repeated bleeding is uncommon and the outcome is usually good. [[Cirrhosis]] of the liver and problems with blood clotting make future bleeding episodes more likely to occur. | |||
==Natural History== | ==Natural History== | ||
Mallory-Weiss tears heal quickly in the absence of portal hypertensive. | Mallory-Weiss tears heal quickly in the absence of portal hypertensive. Patients should be assessed for hemodynamic stability and determine the need for fluid resuscitation and/or blood transfusion. | ||
==Complications== | ==Complications== | ||
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*Organ ischemia and infarction | *Organ ischemia and infarction | ||
==Prognosis== | ==Prognosis== | ||
Repeated bleeding is uncommon and the outcome is usually good. [[Cirrhosis]] of the liver and problems with blood clotting make future bleeding episodes more likely to occur. | * Repeated bleeding is uncommon and the outcome is usually good. [[Cirrhosis]] of the liver and problems with blood clotting make future bleeding episodes more likely to occur. | ||
* Patients do not require repeat endoscopic evaluation to document healing. | |||
* Approximately 40% to 70% of patients with bleeding Mallory-Weiss syndrome require blood transfusions.<ref name="pmid10844847">{{cite journal |vauthors=De Vries AJ, van der Maaten JM, Laurens RR |title=Mallory-Weiss tear following cardiac surgery: transoesophageal echoprobe or nasogastric tube? |journal=Br J Anaesth |volume=84 |issue=5 |pages=646–9 |year=2000 |pmid=10844847 |doi= |url=}}</ref><ref name="pmid12822109">{{cite journal |vauthors=Skok P |title=Fatal hemorrhage from a giant Mallory-Weiss tear |journal=Endoscopy |volume=35 |issue=7 |pages=635 |year=2003 |pmid=12822109 |doi=10.1055/s-2003-40214 |url=}}</ref> | |||
* The mortality rate is approximately 5% and depends on the age and the presence of coexisting medical conditions. | |||
==References== | ==References== | ||
Latest revision as of 16:34, 9 November 2017
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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
Mallory-Weiss tears heal quickly in the absence of portal hypertensive. Repeated bleeding is uncommon and the outcome is usually good. Cirrhosis of the liver and problems with blood clotting make future bleeding episodes more likely to occur.
Natural History
Mallory-Weiss tears heal quickly in the absence of portal hypertensive. Patients should be assessed for hemodynamic stability and determine the need for fluid resuscitation and/or blood transfusion.
Complications
- Hemorrhage
- Organ ischemia and infarction
Prognosis
- Repeated bleeding is uncommon and the outcome is usually good. Cirrhosis of the liver and problems with blood clotting make future bleeding episodes more likely to occur.
- Patients do not require repeat endoscopic evaluation to document healing.
- Approximately 40% to 70% of patients with bleeding Mallory-Weiss syndrome require blood transfusions.[1][2]
- The mortality rate is approximately 5% and depends on the age and the presence of coexisting medical conditions.
References
- ↑ De Vries AJ, van der Maaten JM, Laurens RR (2000). "Mallory-Weiss tear following cardiac surgery: transoesophageal echoprobe or nasogastric tube?". Br J Anaesth. 84 (5): 646–9. PMID 10844847.
- ↑ Skok P (2003). "Fatal hemorrhage from a giant Mallory-Weiss tear". Endoscopy. 35 (7): 635. doi:10.1055/s-2003-40214. PMID 12822109.