Mallory-Weiss syndrome natural history, complications and prognosis: Difference between revisions
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* Patients do not require repeat endoscopic evaluation to document healing. | * Patients do not require repeat endoscopic evaluation to document healing. | ||
* Approximately 40% to 70% of patients with bleeding Mallory-Weiss syndrome require blood transfusions. | * 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. | * The mortality rate is approximately 5% and depends on the age and the presence of coexisting medical conditions. | ||
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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
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.