Which is the BEST method to diagnose a case of Mallory weiss tear?: (A) Esophagogastroduodenoscopy, (B) Side view endoscopy, (C) MRI scan, (D) Angiogram
Answer is A. Mallory-Weiss Tear A Mallory-Weiss tear is a linear mucosal rent near or across the gastroesophageal junction. It may disrupts the submucosal aeriole resulting in brisk hemorrhage. MUST KNOW: Endoscopy is the best method of diagnosis. Actively bleeding tear can be treated endoscopically with epinephrine injection, coaptive coagulation, band ligation, or hemoclips. Ref: Harrison, Edition-18, Page-2416.