mallory weiss and GAVE

Mallory-Weiss tear: Usual preceding event

Bout of retching or forceful vomiting

Mallory-Weiss tear: Anatomical extent

GE junction to below the cardia

Mallory-Weiss tear: Vessel most commonly implicated

Left gastric artery

Mallory-Weiss tear: Diagnostic investigation of choice

Upper GI (UGI) endoscopy

Mallory-Weiss tear: Primary management (Mx)

Self-limiting (if not, Angioembolization)

Mallory-Weiss vs Boerhaave: Depth of tear in Mallory-Weiss

Mucosa and submucosa (longitudinal)

Boerhaave syndrome: Depth of tear/perforation

Full thickness esophageal perforation

Mackler’s Triad: Three clinical components

Vomiting/Retching, Chest pain, Subcutaneous emphysema

Mallory-Weiss vs Boerhaave: Common patient demographic

Alcoholic patients

Gastric Antral Vascular Ectasia (GAVE): Underlying pathology

Dilated venules

GAVE: Typical endoscopic appearance

Watermelon stomach

GAVE: Common demographic and associations

Females > Males; associated with collagen vascular diseases

GAVE: Primary management (Mx)

Argon Photocoagulation (APC)