Mallory-Weiss tear

Most patients usually stop bleeding spontaneously before endoscopic evaluation.

Monitor the patient using a validated early warning score (e.g., National Early Warning Score 2 [NEWS2]).[31]Siau K, Hearnshaw S, Stanley AJ, et al. British Society of Gastroenterology (BSG)-led multisociety consensus care bundle for the early clinical management of acute upper gastrointestinal bleeding. Frontline Gastroenterol. 2020 Mar 27;11(4):311-23. https://www.bsg.org.uk/wp-content/uploads/2019/11/flgastro-2019-101395.pdf http://www.ncbi.nlm.nih.gov/pubmed/32582423?tool=bestpractice.com NEWS2 Opens in new window Serial haemoglobin levels after endoscopic therapy should be considered only in patients with a high risk of rebleeding. Prothrombin time/international normalised ratio should be monitored, and if prolonged should be corrected with fresh frozen plasma and/or vitamin K (phytomenadione). Associated lesions should be identified during endoscopy and treated accordingly.