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Mallory-Weiss syndrome surgery

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

Overview

Surgical oversewing of the tear is reserved for those who fail angiographic therapy.

Surgery

  • Surgical oversewing of the tear is reserved for those who fail angiographic therapy.[1][2][3]
  • Surgery is an alternative if:
    • An interventional radiologist with expertise in transarterial embolization is not available
    • The lesion is unlikely to respond to angiographic therapy
    • Any condition that may complicate the ability to perform angiography or transarterial embolization (eg, renal insufficiency).

References

  1. ↑ Weaver DH, Maxwell JG, Castleton KB (1969). “Mallory-Weiss syndrome”. Am. J. Surg. 118 (6): 887–92. PMID 5358896.
  2. ↑ Dill JE, Wells RF (1971). “Use of vasopressin in the Mallory-Weiss syndrome”. N. Engl. J. Med. 284 (15): 852–3. PMID 5549813.
  3. ↑ Michel L, Serrano A, Malt RA (1980). “Mallory-Weiss syndrome. Evolution of diagnostic and therapeutic patterns over two decades”. Ann. Surg. 192 (6): 716–21. PMC 1344969. PMID 7447523.


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