K22: Other diseases of oesophagus

K22.6: Gastro-oesophageal laceration-haemorrhage syndrome

The oesophagus or gullet connects the mouth with the stomach. It is a muscular tube. The muscles in the oesophagus move food into the stomach.

Inside your gullet, there is a cavity. The wall of the gullet lies around this cavity. The wall is made up of several layers. The innermost layer is the mucous membrane of the gullet. In your case, this mucous membrane is torn lengthwise. The mucous membrane most commonly tears at the junction between the gullet and stomach.

The mucous membrane can tear when the pressure in the stomach increases suddenly or very intensely. That can occur for instance when you have very severe retching or vomiting. But it may also occur if you have a bad cough or strain hard during a bowel movement. The mucous membrane is more sensitive to such tears when you drink alcohol frequently or if there is reflux of gastric acid from the stomach into the gullet.

As a result of the tear, you probably have pain in your stomach or back. There may be bleeding from the mucous membrane tear. It is also possible that you will vomit blood.