MRCEM Notes

Oesophageal disorders

The table below lists a small group of oesophageal disorders that are not covered elsewhere in the notes.

DisorderNotes
Plummer-Vinson syndromeTriad of:
  • dysphagia (secondary to oesophageal webs)
  • glossitis
  • iron-deficiency anaemia

Treatment includes iron supplementation and dilation of the webs
Mallory-Weiss syndromeSevere vomiting → painful mucousal lacerations at the gastroesophageal junction resulting in haematemesis. Common in alcoholics
Boerhaave syndromeSevere vomiting → oesophageal rupture

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