Mallory–Weiss tear

Mallory–Weiss tear

This is a longitudinal tear at the GOJ, which is induced by repetitive and strenuous vomiting. Doubtless, many such lesions occur and do not cause bleeding. When it is a cause of haematemesis, the lesion may often be missed as it can be di ffi cult to see because it is just below the GOJ, a position that - can be di ffi cult for the inexperienced endoscopist. Occasionally these lesions continue to bleed and require surgical treatment (see also Chapter 66 ).