Mallory-Weiss syndrome medical therapy

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Mohamed Diab, MD [2]

Overview

Treatment of Mallory-Weiss syndrome is usually supportive because persistent bleeding is uncommon. Injection of epinephrine or cauterization may be done to stop bleeding during endoscopy.

Medical Therapy

Treatment of Mallory-Weiss syndrome is usually supportive because persistent bleeding is uncommon. Injection of epinephrine^[1] or cauterization may be done to stop bleeding during endoscopy.

In rare cases, embolization of the arteries supplying the region may be needed to stop the bleeding. If all methods fail, high gastrostomy can be done to ligate the bleeding vessel.

Inhibitors of gastric secretion (PPI) can be given

Antiemetics (eg, metoclopramide) are reserved for patients with persistent vomiting.

References

↑ Gawrieh S, Shaker R (2005). “Treatment of actively bleeding Mallory-Weiss syndrome: epinephrine injection or band ligation?”. Current gastroenterology reports. 7 (3): 175. PMID 15913474.

Template:WikiDoc Sources

[pmid15913474-1] Gawrieh S, Shaker R (2005). “Treatment of actively bleeding Mallory-Weiss syndrome: epinephrine injection or band ligation?”. Current gastroenterology reports. 7 (3): 175. PMID 15913474.

[1]