Abstract
Gastrointestinal hemorrhage caused by gastroesophageal laceration was first reported by Quincke in 1879; however, the association with retching and vomiting was described by Mallory and Weiss in 1929 (Mallory and Weiss, Am J Med Sci, 178:506–514, 1929; Quincke, Deutsch Arch Klin Med, 24(72), 1879). The prevalence of Mallory–Weiss syndrome has been reported at between 3 and 15 % of all patients with acute upper gastrointestinal bleeding (Sugawa et al., Am J Surg, 145(1):30–3, 1983; van Leerdam, Best Pract Res Clin Gastroenterol, 22(2):209–24, 2008; Yin et al., Eur J Intern Med, 23(4):e92–6, 2012). Mortality associated with Mallory–Weiss tears has been shown to be similar to gastric and duodenal ulcers in at least one series (Marmo et al., Gastrointest Endosc, 75(2):263–72, 272.e1, 2012). The occurrence of gastroesophageal laceration without hemorrhage is difficult to quantify and their clinical significance is debatable.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Mallory GK, Weiss S. Hemorrhages from lacerations of the cardiac orifice of the stomach due to vomiting. Am J Med Sci. 1929;178(4):506–14.
Quincke H. Ulcus oesophagi ex digestone. Deutsch Arch Klin Med. 1879;24(72).
Sugawa C, Benishek D, Walt AJ. Mallory-Weiss syndrome. A study of 224 patients. Am J Surg. 1983;145(1):30–3.
van Leerdam ME. Epidemiology of acute upper gastrointestinal bleeding. Best Pract Res Clin Gastroenterol. 2008;22(2):209–24.
Yin A, Li Y, Jiang Y, Liu J, Luo H. Mallory-Weiss syndrome: clinical and endoscopic characteristics. Eur J Intern Med. 2012;23(4):e92–6.
Marmo R et al. Mortality from nonulcer bleeding is similar to that of ulcer bleeding in high-risk patients with nonvariceal hemorrhage: a prospective database study in Italy. Gastrointest Endosc. 2012;75(2):263–72. 272.e1.
Kim JW et al. Mallory-Weiss Tear during Esophagogastroduodenoscopy. Case Rep Gastroenterol. 2015;9(1):62–7.
Penston JG, Boyd EJ, Wormsley KG. Mallory-Weiss tears occurring during endoscopy: a report of seven cases. Endoscopy. 1992;24(4):262–5.
Santoro MJ, Chen YK, Collen MJ. Polyethylene glycol electrolyte lavage solution-induced Mallory-Weiss tears. Am J Gastroenterol. 1993;88(8):1292–3.
Gilbert DA, Silverstein FE, Tedesco FJ. National ASGE survey on upper gastrointestinal bleeding: complications of endoscopy. Dig Dis Sci. 1981;26(7 Suppl):55S–9.
Knauer CM. Mallory-Weiss syndrome. Characterization of 75 Mallory-Weiss lacerations in 528 patients with upper gastrointestinal hemorrhage. Gastroenterology. 1976;71(1):5–8.
Harris JM, DiPalma JA. Clinical significance of Mallory-Weiss tears. Am J Gastroenterol. 1993;88(12):2056–8.
Younes Z, Johnson DA. The spectrum of spontaneous and iatrogenic esophageal injury: perforations, Mallory-Weiss tears, and hematomas. J Clin Gastroenterol. 1999;29(4):306–17.
Bharucha AE, Gostout CJ, Balm RK. Clinical and endoscopic risk factors in the Mallory-Weiss syndrome. Am J Gastroenterol. 1997;92(5):805–8.
Kortas DY et al. Mallory-Weiss tear: predisposing factors and predictors of a complicated course. Am J Gastroenterol. 2001;96(10):2863–5.
Kim JW et al. Predictive factors of recurrent bleeding in Mallory-Weiss syndrome. Korean J Gastroenterol. 2005;46(6):447–54.
Barkun AN et al. International consensus recommendations on the management of patients with nonvariceal upper gastrointestinal bleeding. Ann Intern Med. 2010;152(2):101–13.
Laine L, Jensen DM. Management of patients with ulcer bleeding. Am J Gastroenterol. 2012;107(3):345–60. quiz 361.
Bataller R et al. Endoscopic sclerotherapy in upper gastrointestinal bleeding due to the Mallory-Weiss syndrome. Am J Gastroenterol. 1994;89(12):2147–50.
Llach J et al. Endoscopic injection therapy in bleeding Mallory-Weiss syndrome: a randomized controlled trial. Gastrointest Endosc. 2001;54(6):679–81.
Peng YC et al. Efficacy of endoscopic isotonic saline-epinephrine injection for the management of active Mallory-Weiss tears. J Clin Gastroenterol. 2001;32(2):119–22.
Laine L. Multipolar electrocoagulation in the treatment of active upper gastrointestinal tract hemorrhage. A prospective controlled trial. N Engl J Med. 1987;316(26):1613–7.
Cho YS et al. Endoscopic band ligation and endoscopic hemoclip placement for patients with Mallory-Weiss syndrome and active bleeding. World J Gastroenterol. 2008;14(13):2080–4.
Huang SP et al. Endoscopic hemoclip placement and epinephrine injection for Mallory-Weiss syndrome with active bleeding. Gastrointest Endosc. 2002;55(7):842–6.
Shimoda R et al. Endoscopic hemostasis with metallic hemoclips for iatrogenic Mallory-Weiss tear caused by endoscopic examination. Dig Endosc. 2009;21(1):20–3.
Yamaguchi Y et al. Endoscopic hemoclipping for upper GI bleeding due to Mallory-Weiss syndrome. Gastrointest Endosc. 2001;53(4):427–30.
Yuan Y, Wang C, Hunt RH. Endoscopic clipping for acute nonvariceal upper-GI bleeding: a meta-analysis and critical appraisal of randomized controlled trials. Gastrointest Endosc. 2008;68(2):339–51.
Lecleire S et al. Endoscopic band ligation could decrease recurrent bleeding in Mallory-Weiss syndrome as compared to haemostasis by hemoclips plus epinephrine. Aliment Pharmacol Ther. 2009;30(4):399–405.
Park CH et al. A prospective, randomized trial of endoscopic band ligation vs. epinephrine injection for actively bleeding Mallory-Weiss syndrome. Gastrointest Endosc. 2004;60(1):22–7.
Ivekovic H, et al. The esophagus as a working channel: successful closure of a large Mallory-Weiss tear with clips and an endoloop. Endoscopy. 2011;43 Suppl 2 UCTN:E170.
Skinner M et al. Over-the-scope clip placement is effective rescue therapy for severe acute upper gastrointestinal bleeding. Endosc Int Open. 2014;2(1):E37–40.
Clark RA. Intraarterial vasopressin infusion for treatment of Mallory-Weiss tears of the esophagogastric junction. AJR Am J Roentgenol. 1979;133(3):449–51.
Walker TG. Acute gastrointestinal hemorrhage. Tech Vasc Interv Radiol. 2009;12(2):80–91.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2016 Springer International Publishing AG
About this chapter
Cite this chapter
Spaete, J.P., Branch, M.S. (2016). Mallory–Weiss Syndrome. In: Pryor, A., Pappas, T., Branch, M. (eds) Gastrointestinal Bleeding. Springer, Cham. https://doi.org/10.1007/978-3-319-40646-6_7
Download citation
DOI: https://doi.org/10.1007/978-3-319-40646-6_7
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-40644-2
Online ISBN: 978-3-319-40646-6
eBook Packages: MedicineMedicine (R0)