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Health Dictionary

Reliable, easy-to-read patient information on common medical conditions — written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.

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Mallory-Weiss syndrome natural history, complications and prognosis

Introduction

Overview

Overview

Mallory-Weiss tears heal quickly in the absence of portal hypertensive. 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.

Natural History

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

Complications

Prognosis

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

References

  1. ↑ 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.
  2. ↑ Skok P (2003). “Fatal hemorrhage from a giant Mallory-Weiss tear”. Endoscopy. 35 (7): 635. doi:10.1055/s-2003-40214. PMID 12822109.


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