DRG Category: 326

Mean LOS: 16.6 days

Description SURGICAL: Stomach, Esophageal, and Duodenal Procedure with Major CC

DRG Category: 378

Mean LOS: 4.3 days

Description MEDICAL: Gastrointestinal Hemorrhage with CC

classification section:



Mallory-Weiss syndrome (MWS) is a tear or laceration, usually singular and longitudinal, in the mucosa at the junction of the distal esophagus and proximal stomach. Esophageal lacerations account for between 5% and 10% of upper gastrointestinal (GI) bleeding episodes. Approximately 60% of the tears involve the cardia, the upper opening of the stomach that connects with the esophagus. Another 15% involve the terminal esophagus, and 25% involve the region across the epigastric junction. In a small percentage of patients, the tear leads to upper GI bleeding. Most episodes of bleeding stop spontaneously, but some patients require medical intervention. If bleeding is excessive, hypovolemia and shock may result. Esophageal rupture (Boerhaave's syndrome) is rare but catastrophic when it does occur. If esophageal perforation occurs, the patient may develop abscesses or sepsis.