Esophagus, Stomach, and Duodenum

Matthew B. Singer, Andrew Tang

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This is a unique question-and-answer chapter for surgical residents and trainees, concentrating on the injuries of esophagus, stomach, and duodenum. The resultant sudden increase in intraluminal pressure creates a transmural esophageal tear, typically located in the left posterolateral aspect of the distal esophagus, 2-3cm above the gastroesophageal junction. The diagnostic test of choice is an esophagram. Mallory-Weiss tear is a common cause of upper gastrointestinal bleeding and typically presents as hematemesis after an initial episode of vomiting without blood. Many factors have been associated with the development of Mallory-Weiss tears, including alcohol use, use of aspirin and warfarin, paroxysms of coughing, pregnancy, heavy lifting, straining, seizures, blunt abdominal trauma, colonic lavage, and cardiopulmonary resuscitation. Endoscopic therapies that employ epinephrine injection, hemoclip placement, and band ligation have all been used with equal success to achieve primary hemostasis. Angiography with selective transcatheter embolization is another effective treatment option.

Original languageEnglish (US)
Title of host publicationSurgical Critical Care and Emergency Surgery
Subtitle of host publicationClinical Questions and Answers: Second Edition
PublisherWiley-Blackwell
Pages359-369
Number of pages11
ISBN (Electronic)9781119317913
ISBN (Print)9781119317920
DOIs
StatePublished - Apr 3 2018
Externally publishedYes

Keywords

  • Abdominal trauma
  • Duodenum
  • Endoscopic therapies
  • Esophagram
  • Mallory-Weiss tear
  • Stomach
  • Surgical residents
  • Surgical trainees

ASJC Scopus subject areas

  • Medicine(all)

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