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Guilherme Mazui

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What is the Difference Between Mallory Weiss and Boerhaave?

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Mallory Weiss and Boerhaave syndromes are two conditions related to esophageal rupture. The main differences between them are:

  1. Extent of rupture: Mallory Weiss syndrome involves a tear in the inner lining of the esophagus, while Boerhaave syndrome involves a full-thickness rupture of the esophageal wall.
  2. Symptoms: Both conditions are associated with vomiting blood, but Boerhaave syndrome typically presents with severe pain, while Mallory Weiss syndrome may not.
  3. Causes: Both syndromes can be caused by forceful vomiting or straining, and are often associated with alcohol abuse. However, Boerhaave syndrome can also be caused by other factors such as childbirth, seizures, weightlifting, and ingestion of corrosive substances.
  4. Diagnosis: Boerhaave syndrome can be more challenging to diagnose, but timely diagnosis is crucial for better outcomes. Mallory Weiss syndrome, on the other hand, is often diagnosed based on symptoms and medical history.

In summary, Mallory Weiss syndrome involves a tear in the inner lining of the esophagus, while Boerhaave syndrome involves a full-thickness rupture of the esophageal wall. Both conditions are often caused by forceful vomiting or straining, but Boerhaave syndrome can also be caused by other factors. Diagnosis and timely treatment are crucial for better outcomes in both cases.

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  • What is the Difference Between Mallory Weiss and Boerhaave?
  • Comparative Table: Mallory Weiss vs Boerhaave

    • Comparative Table: Mallory Weiss vs Boerhaave

    The main difference between Mallory Weiss and Boerhaave syndromes lies in the extent of the tear in the esophageal wall. Here is a table comparing the two syndromes:

    Feature Mallory Weiss Syndrome Boerhaave Syndrome
    Definition A rupture or laceration of the mucous membrane in the esophagus, not penetrating the muscular layer A full-thickness tear of the esophageal wall
    Location Occurs in the mucosa and submucosa of the esophageal wall Occurs in the full thickness of the esophageal wall
    Causes Often results from profuse vomiting, hiatus hernia, convulsions, CPR, or chemotherapy Generally caused by a sudden increase in pressure inside the esophagus
    Symptoms Chest pain, vomiting blood, low blood pressure, and fever Chest pain, vomiting blood, low blood pressure, and fever
    Diagnosis Endoscopy and esophagogastroduodenoscopy Endoscopy and esophagogastroduodenoscopy
    Treatment Cauterization or injection of epinephrine, embolization of the arteries supplying the region, and high gastrostomy Treatment options may include esophageal stents, endoscopic suturing, endoscopic vacuum therapy, or surgical intervention

    Both syndromes are associated with esophageal rupture and can present with chest pain, vomiting blood, low blood pressure, and fever. Diagnosis is typically made through endoscopy and esophagogastroduodenoscopy.

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    Guilherme Mazui

    Guilherme Mazui is graduated in journalism from the Federal University of Minas Gerais (UFMG) and a master's degree in Communication from the University of São Paulo (USP). In addition, he has experience in advertising writing and has worked as a content editor in several companies.