title: Old technique revisited with surgical innovation: complicated Mallory-Weiss tear with bleeding gastric ulcer exclusion.
abstract: Mallory-Weiss tears (MWTs) rarely require surgical intervention. A 60-year-old female presented with massive hematemesis secondary to MWT and gastric ulceration. After failure of endoscopic management, an operative approach was embarked on, with a direct surgical hemostasis of the Mallory-Weiss tear and exclusion of the gastric ulcer. This exclusion strategy may be applicable for other patients with uncontrolled upper gastrointestinal bleeding in whom a simple repair would be difficult.
authors.affiliation: Department of Surgery, Epworth Richmond Hospital, Victoria, Melbourne, Australia osamu1979@mac.com.
authors.forename: Osamu
authors.initials: O
authors.lastname: Yoshino
authors.affiliation: Department of Gastroenterology, Epworth Richmond Hospital, Victoria, Melbourne, Australia.
authors.forename: Peter J
authors.initials: PJ
authors.lastname: Prichard
authors.affiliation: Department of Surgery, Epworth Richmond Hospital, Victoria, Melbourne, Australia.
authors.forename: Julian
authors.initials: J
authors.lastname: Choi