Lectures

Mallory Weiss Syndrome

by Carlo Raj, MD
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    Our topic now, back in the esophagus is Mallory Weiss Syndrome. Mallory Weiss Syndrome; what is your patient doing? Your patient could be the following: male or female, in the fashion industry, or high pressure image okay, image. Maybe a poster child for Vogue. You know one of these… or maybe a model for Victoria Secret or model for Calvin Klein would have you. Okay. Your patient, might be a med student such as yourself. Patient may be a law student, a highly stressful situation. And every single weekend they find themselves binge drinking, binge drinking, binge drinking. So I’ll give you two major populations here. Binge drinkers where every weekend, every weekend they’ve taken high stress exams and such, you know what that is? But then they have to find relief, and outlets. And so therefore, they binge drink every weekend and when they do so, [gags twice], right? They’re doing that quite a bit - retching. I gave you the fashion industry, high pressure to maintain image of the body to the point where psychologically it becomes very, very draining. So now they feel guilty about everything that they’re eating. They had two fries, they run to the bathroom, [gags], you get the point. So there’s quite a bit of increased pressure in the lumen of the esophagus. Retching, or maybe vomiting. When this occurs, then you’re worried about a tear taking place in your lower portion of your esophagus, posterolateral. It’s the weakest portion. This tear is then referred to as being your Mallory Weiss tear. Mucosal laceration of the gastroesophageal junction, accounts for all 10% of your GI bleeds. That’s pretty high isn’t it? The tear. 75% of the cases have history of recent retching, meaning increased interluminal pressure within the esophagus. Repeated emesis, emesis, emesis....

    About the Lecture

    The lecture Mallory Weiss Syndrome by Carlo Raj, MD is from the course Esophageal Disease.


    Included Quiz Questions

    1. Mucosa.
    2. Submucosa.
    3. Muscularis layer.
    4. Serosa.
    5. Lamina propria.
    1. Hiatal hernia.
    2. GERD.
    3. PUD.
    4. Inguinal hernia.
    5. Aspiration pneumonia.
    1. Endoscopic cauterization to stop the bleeding in the esophagus.
    2. Barium swallow.
    3. Esophageal manometry.
    4. Evaluate for GERD.
    5. Start anti-inflammatory drugs.

    Author of lecture Mallory Weiss Syndrome

     Carlo Raj, MD

    Carlo Raj, MD


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