Mallory Weiss Syndrome (SMW) is a condition Which marked as is laceration mucosa superficial longitudinal (tear Mallory Weiss ) in upper gastrointestinal tract, especially at the gastroesophageal junction. Symptoms of SMW including painful stomach, hematemesis, and vomiting heavy. Blood often lumpy and coffee-ground-like, and the stool may be dark like tar (melena). In the United States, SMW accounts for one to 15% of upper gastrointestinal bleeding in adults and less than 5% in children. 1 According to a systematic review and meta-analysis, 37% of studies on SMW were from Asia. However, the review did not provide specific data on the incidence or prevalence of SMW in Asia, including Indonesia. 2
Mallory-Weiss syndrome (MSWS) has risk factors in the form of severe vomiting, which can associated with chronic alcoholism, but SMW also can happen consequence trauma critical on chest or stomach, hiccup chronic, lifting and straining, gastric or esophageal pleurisy, hiatal hernia, or cardiopulmonary resuscitation. Although most cases of Mallory-Weiss tears resolve spontaneously, patients with severe or recurrent bleeding episodes requiring intensive care therapy and interventional endoscopy have been reported. 1,2 Therefore, clinicians need to be familiar with the diagnosis and management of SMW in order to provide proper treatment for these cases.