Tear of the tissue of the lower oesophagus

Aetiology

• Often occurs after a period of prolonged and vigorous retching and vomiting, most commonly after a period of heavy drinking
• Retching tears the oesophageal/gastric junction → heavy bleeding

Clinical features

• Haematemesis - large volumes of bright red blood
• Melena

Investigations

• Endoscopy

Management

• Bleeding usually stops by itself and patient needs no further treatment