What is the typical treatment approach for a Mallory Weiss tear?

A Mallory-Weiss tear is a laceration in the mucosa at the junction of the stomach and esophagus, often caused by severe vomiting or retching. The typical treatment approach for this condition emphasizes supportive care and medical management, generally because these tears often heal spontaneously.

Proton pump inhibitors (PPIs) are commonly used to reduce gastric acid secretion, which helps to promote healing of the tear and prevent any further complications such as bleeding or irritation from stomach acid. Most cases of Mallory-Weiss tears resolve without invasive intervention, making this conservative management approach effective.

Surgical intervention is typically reserved for cases that involve significant and uncontrollable bleeding, which is rare. Immediate endoscopic repair may be necessary in cases of persistent bleeding or complications but is not the first-line treatment for most patients with a Mallory-Weiss tear. Antibiotics are not indicated because the condition does not involve bacterial infection. Hence, using PPIs and allowing the tear to heal on its own aligns with established medical practices for managing a Mallory-Weiss tear.