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Difference between Esophageal varices and Mallory-Weiss syndrome



  • Laceration at the GE junction due to severe prolonged vomiting (MW syndrome)



  • Dilated submucosal veins in the lower third of the esophagus ,usually secondary to portal hypertension (EV)



  • Most Common Cause : alcoholism in (MW syndrome) , Cirrhosis in (EV)



  • Presentation : Mild hematemesis in (MW syndrome) , Massive hematemesis when ruptured in (EV) 



  • Complication : Boerhaave syndrome (esophageal rupture) in (MW syndrome) , Potentially fatal hemorrhage in (EV) 
both can possibly lead to death in alcoholics.