A 55-year-old woman presents with haematemesis after forceful retching. Endoscopy shows a longitudinal mucosal tear at the gastro-oesophageal junction...

Question

A 55-year-old woman presents with haematemesis after forceful retching. Endoscopy shows a longitudinal mucosal tear at the gastro-oesophageal junction. There is no active bleeding. What is this lesion and what is the recommended management?

Accepted Answer

Mallory-Weiss tear; conservative management with PPI

Answer

Barrett's ulcer; PPI and surveillance

Answer

Dieulafoy lesion; endoscopic therapy

Answer

Cameron lesion; surgical repair

Answer

Boerhaave syndrome; surgical repair

uk-sce-gastroenterology MCQ (SBA): Mallory-Weiss Tear

A 55-year-old woman presents with haematemesis after forceful retching. Endoscopy shows a longitudinal mucosal tear at the gastro-oesophageal junction. There is no active bleeding. What is this lesion and what is the recommended management?